Entity Name: | TEAMCARE INFUSION ORLANDO, INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 25 Feb 2000 (25 years ago) |
Date of dissolution: | 23 Sep 2022 (2 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2022 (2 years ago) |
Document Number: | P00000019945 |
FEI/EIN Number | 651089104 |
Address: | 1501 lake markham rd, sanford, FL, 32771, US |
Mail Address: | 1501 lake markham rd, sanford, FL, 32771, US |
ZIP code: | 32771 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134120991 | 2005-08-02 | 2016-09-29 | 1100 CENTRAL PARK DR, SUITE 500, SANFORD, FL, 327716305, US | 1100 CENTRAL PARK DR STE 500, SANFORD, FL, 327716307, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-328-8787 |
Fax | 4073304746 |
Authorized person
Name | MARK SCHNEIDER |
Role | PRESIDENT |
Phone | 4073288787 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
License Number | PH20960 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 2011508 |
Issuer | MEDICAID |
Number | 001495400 |
State | FL |
Name | Role |
---|---|
ALAN C. GOLD, P.A. | Agent |
Name | Role | Address |
---|---|---|
Schneider mark L | Director | 1100 Central Park Dr, sanford, FL, 32771 |
Name | Role | Address |
---|---|---|
Schneider mark L | President | 1100 Central Park Dr, sanford, FL, 32771 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-05-17 | 1501 lake markham rd, sanford, FL 32771 | No data |
CHANGE OF MAILING ADDRESS | 2020-05-17 | 1501 lake markham rd, sanford, FL 32771 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-04-24 | 9200 South Dadeland Blvd, Suite 208, Miami, FL 33156 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2021-03-31 |
ANNUAL REPORT | 2020-05-17 |
ANNUAL REPORT | 2019-07-08 |
ANNUAL REPORT | 2018-04-24 |
ANNUAL REPORT | 2017-04-25 |
ANNUAL REPORT | 2016-03-29 |
ANNUAL REPORT | 2015-03-19 |
ANNUAL REPORT | 2014-04-13 |
ANNUAL REPORT | 2013-02-11 |
ANNUAL REPORT | 2012-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State