| Entity Name: | MPP INFUSION CENTER OF DOCTOR PHILLIPS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Sep 2019 (5 years ago) |
| Document Number: | M19000008485 |
| FEI/EIN Number | 84-2965869 |
| Address: | 1726 Cole Blvd, Ste 250, Lakewood, CO 80401 |
| Mail Address: | 1726 Cole Blvd, Ste 250, Lakewood, CO 80401 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003465253 | 2019-09-10 | 2022-04-11 | 1626 COLE BLVD STE 225, LAKEWOOD, CO, 804013377, US | 6068 S APOPKA VINELAND RD STE 4, ORLANDO, FL, 328194449, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 720-465-5030 |
Authorized person
| Name | ELLEN DAVIS |
| Role | PRESIDENT |
| Phone | 3033844100 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Multispecialty Physician Practice, LLC | Manager | 1726 Cole Blvd, Ste 250 Lakewood, CO 80401 |
| Name | Role | Address |
|---|---|---|
| Allen, Dan | Chief Financial Officer | 1726 Cole Blvd, Ste 250 Lakewood, CO 80401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-08 | 1726 Cole Blvd, Ste 250, Lakewood, CO 80401 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 1726 Cole Blvd, Ste 250, Lakewood, CO 80401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-05-29 |
| Foreign Limited | 2019-09-03 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
