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MPP INFUSION CENTER OF PORT ST. LUCIE, LLC - Florida Company Profile

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Company Details

Entity Name: MPP INFUSION CENTER OF PORT ST. LUCIE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 13 Jun 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Nov 2023 (2 years ago)
Document Number: M19000005813
FEI/EIN Number 83-4697201
Address: 525 NW Lake Whitney Place, Suite 101, Port St. Lucie, FL, 34986, US
Mail Address: 525 NW Lake Whitney Place, Suite 101, Port St. Lucie, FL, 34986, US
ZIP code: 34986
City: Port Saint Lucie
County: St. Lucie
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Multispecialty Physician Partners LLC Manager 1726 Cole Blvd, Lakewood, CO, 80401
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

National Provider Identifier

NPI Number:
1811559487
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
G23000118006 VIVO INFUSION ACTIVE 2023-09-25 2028-12-31 - 525 NW LAKE WHITNEY PLACE,SUITE 101, PORT ST.LUCIE, FL, 34986

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-08 525 NW Lake Whitney Place, Suite 101, Port St. Lucie, FL 34986 -
CHANGE OF MAILING ADDRESS 2024-04-08 525 NW Lake Whitney Place, Suite 101, Port St. Lucie, FL 34986 -
LC AMENDMENT 2023-11-02 - -
LC AMENDMENT 2019-08-19 - -

Documents

Name Date
ANNUAL REPORT 2024-04-08
LC Amendment 2023-11-02
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-03-22
AMENDED ANNUAL REPORT 2021-11-15
ANNUAL REPORT 2021-04-02
AMENDED ANNUAL REPORT 2020-08-17
AMENDED ANNUAL REPORT 2020-08-14
ANNUAL REPORT 2020-05-27
LC Amendment 2019-08-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State