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INFUSION CENTER OF JACKSONVILLE, LLC - Florida Company Profile

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Company Details

Entity Name: INFUSION CENTER OF JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 11 Feb 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Nov 2023 (2 years ago)
Document Number: M19000001818
FEI/EIN Number 83-3533607
Address: 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL, 32256, US
Mail Address: 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Allen Dan Chief Financial Officer 11512 Lake Mead Ave, Jacksonville, FL, 32256
- Agent -
Multispecialty Physician Partners LLC Manager 1726 Cole Blvd, Lakewood, CO, 80401

National Provider Identifier

NPI Number:
1336606383
Certification Date:
2022-04-11

Authorized Person:

Name:
SUE ELLEN ROTTURA
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
No
Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000118005 VIVO INFUSION ACTIVE 2023-09-25 2028-12-31 - 11512 LAKE MEAD AVE,STE 302-303, JACKOSNVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-06 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL 32256-9680 -
CHANGE OF MAILING ADDRESS 2024-04-06 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL 32256-9680 -
LC AMENDMENT 2023-11-02 - -
LC AMENDMENT 2019-08-19 - -

Documents

Name Date
ANNUAL REPORT 2024-04-06
LC Amendment 2023-11-02
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-03-22
AMENDED ANNUAL REPORT 2021-11-15
AMENDED ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2021-01-26
AMENDED ANNUAL REPORT 2020-08-14
ANNUAL REPORT 2020-03-30
LC Amendment 2019-08-19

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Date of last update: 03 Jul 2025

Sources: Florida Department of State