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OPTUM INFUSION SERVICES 204, INC. - Florida Company Profile

Headquarter

Company Details

Entity Name: OPTUM INFUSION SERVICES 204, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

OPTUM INFUSION SERVICES 204, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Oct 2002 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Sep 2020 (5 years ago)
Document Number: P02000113258
FEI/EIN Number 55-0802774

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 15529 College Blvd., Lenexa, KS, 66219-1351, US
Mail Address: 15529 College Blvd., Lenexa, KS, 66219-1351, US
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of OPTUM INFUSION SERVICES 204, INC., ALABAMA 000-533-341 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588936785 2012-02-02 2022-12-29 4220 EXECUTIVE CIRCLE, SUITE 62, FORT MYERS, FL, 33916, US 4220 EXECUTIVE CIRCLE, SUITE 62, FORT MYERS, FL, 33916, US

Contacts
Phone +1 239-561-2388
Fax 8448301983

Authorized person
Name DAVID JOHN OBERG
Role ASSISTANT SECRETARY
Phone 9499885893

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 3336C0004X - Compounding Pharmacy
License Number PH 27821
State FL
Is Primary No
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
License Number PH26240
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 015940200
State FL
Issuer MEDICAID
Number 015940201
State FL

Key Officers & Management

Name Role Address
Lang Heather A Asst 15529 College Blvd., Lenexa, KS, 662191351
Satterwhite Erin A President 15529 College Blvd., Lenexa, KS, 662191351
Carey Kathryn E Director 15529 College Blvd., Lenexa, KS, 662191351
Burr Kevin E Secretary 15529 College Blvd., Lenexa, KS, 662191351
Hirsch Marilyn V Treasurer 15529 College Blvd., Lenexa, KS, 662191351
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-16 - -
CHANGE OF PRINCIPAL ADDRESS 2020-05-20 15529 College Blvd., Lenexa, KS 66219-1351 -
CHANGE OF MAILING ADDRESS 2020-05-20 15529 College Blvd., Lenexa, KS 66219-1351 -
NAME CHANGE AMENDMENT 2020-04-02 OPTUM INFUSION SERVICES 204, INC. -
AMENDMENT AND NAME CHANGE 2017-08-17 BRIOVARX INFUSION SERVICES 204, INC. -
REGISTERED AGENT ADDRESS CHANGED 2016-05-16 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
REGISTERED AGENT NAME CHANGED 2016-05-16 CT CORPORATION SYSTEM -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-01
AMENDED ANNUAL REPORT 2024-07-09
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-24
Amendment 2020-09-16
ANNUAL REPORT 2020-05-20
Name Change 2020-04-02
ANNUAL REPORT 2019-03-23

Companies related by officers

Lang Heather A

PDX, INC. - Active
Foreign Profit (2016 )
LHC GROUP, INC. - Active
Foreign Profit (2007 )
OPTUM360 SERVICES, INC. - Active
Foreign Profit (2013 )
AVELLA PATIENT ACCESS PROGRAM, INC. - Inactive
Foreign Profit (2016 - 2020)
OPTUM GOVERNMENT SOLUTIONS, INC. - Active
Foreign Profit (2001 )
OPTUM SERVICES, INC. - Active
Foreign Profit (2013 )
NAVIHEALTH, INC. - Active
Foreign Profit (2014 )
HUMEDICA, INC. - Active
Foreign Profit (2012 )
HEALTHPLEX MANAGEMENT SERVICES, INC. - Active
Foreign Profit (2006 )
EXCELSIOR INSURANCE BROKERAGE, INC. - Active
Foreign Profit (2016 )

Satterwhite Erin A

OPTUM PHARMACY 705, LLC - Active
Foreign Limited Liability Co. (2018 )
OPTUM COMPOUNDING SERVICES, LLC - Active
Foreign Limited Liability Co. (2020 )
OPTUM FRONTIER THERAPIES, LLC - Active
Foreign Limited Liability Co. (2014 )
DIVVYMED, LLC - Active
Foreign Limited Liability Co. (2021 )
OPTUM INFUSION SERVICES 501, INC. - Active
Foreign Profit (2021 )
LEEHAR DISTRIBUTORS, LLC - Active
Foreign Limited Liability Co. (2018 )
DIPLOMAT PHARMACY, INC. - Active
Foreign Profit (2013 )
AMBIENT HEALTHCARE, INC. - Active
Domestic Profit (2001 )
OPTUM INFUSION SERVICES 551, LLC - Active
Foreign Limited Liability Co. (2021 )
OPTUM SPECIALTY SERVICES, LLC - Active
Foreign Limited Liability Co. (2023 )

Carey Kathryn E

OPTUM PHARMACY 705, LLC - Active
Foreign Limited Liability Co. (2018 )
OPTUM COMPOUNDING SERVICES, LLC - Active
Foreign Limited Liability Co. (2020 )
OPTUM FRONTIER THERAPIES, LLC - Active
Foreign Limited Liability Co. (2014 )
OPTUMRX, INC. - Active
Foreign Profit (2005 )
OPTUM INFUSION SERVICES 501, INC. - Active
Foreign Profit (2021 )
OPTUM INFUSION SERVICES 205, INC. - Active
Domestic Profit (2008 )
ACCURATE RX PHARMACY CONSULTING, LLC - Inactive
Foreign Limited Liability Co. (2018 - 2024)
OPTUM INFUSION SERVICES 202, INC. - Active
Domestic Profit (2006 )
SALVEO SPECIALTY PHARMACY, INC. - Active
Foreign Profit (2014 )
OPTUM FRONTIER THERAPIES II, LLC - Active
Foreign Limited Liability Co. (2022 )

Burr Kevin E

OPTUMRX, INC. - Active
Foreign Profit (2005 )
OPTUM INFUSION SERVICES 501, INC. - Active
Foreign Profit (2021 )
OPTUM INFUSION SERVICES 202, INC. - Active
Domestic Profit (2006 )
OPTUM MEDICAL SERVICES, P.C. - Active
Foreign Profit (2011 )
OPTUM INFUSION SERVICES 203, INC. - Active
Domestic Profit (2002 )
OPTUM INFUSION SERVICES 500, INC. - Active
Foreign Profit (2020 )
OPTUM PHARMACY 801, INC. - Active
Foreign Profit (2012 )

Hirsch Marilyn V

THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA - Active
Foreign Profit (1908 )
AIU INSURANCE COMPANY - Active
Foreign Profit (1919 )
NATIONAL UNION FIRE INSURANCE CO OF PITTSBURGH PENNSYLVANIA - Active
Foreign Profit (1928 )
OPTUM INFUSION SERVICES 202, INC. - Active
Domestic Profit (2006 )
ILLINOIS NATIONAL INSURANCE CO. - Active
Foreign Profit (1978 )
AIG PC GLOBAL SERVICES, INC. - Active
Foreign Profit (2010 )
AIG PROPERTY CASUALTY COMPANY - Active
Foreign Profit (1928 )
NEW HAMPSHIRE INSURANCE COMPANY - Active
Foreign Profit (1959 )
OPTUM INFUSION SERVICES 203, INC. - Active
Domestic Profit (2002 )
OPTUM INFUSION SERVICES 201, INC. - Active
Domestic Profit (2002 )

CT CORPORATION SYSTEM

MERRILL LYNCH ACCEPTANCE CORP. - Inactive
Foreign Profit (1990 - 1996)
TDM FRANCHISING, LLC - Inactive
Foreign Limited Liability Co. (2019 - 2020)
JOHNSON COMMUNICATIONS CORPORATION - Inactive
Domestic Profit (1966 - 1995)
ESIS INTERNATIONAL, INC. - Inactive
Foreign Profit (1981 - 2001)
S.A.S. WHOLESALE DISTRIBUTING, INC. - Inactive
Foreign Profit (1988 - 1995)
MAUCH CARE HEALTH SERVICES, INC. - Inactive
Foreign Profit (1988 - 1996)
CS KEY WEST I, LLC. - Inactive
Foreign Limited Liability Co. (2008 - 2008)
PHILIP WILLIAMS & ASSOCIATES, LTD., INC. - Inactive
Foreign Profit (2005 - 2011)
PACER PROPERTIES, INC. - Inactive
Domestic Profit (1995 - 1996)
NW FLORIDA EMERGENCY PHYSICIANS, LLC - Active
Florida Limited Liability Co. (2010 )

Companies related by address

15529 College Blvd., Lenexa, KS, 66219-1351, US

OPTUM INFUSION SERVICES 205, INC. OPTUM INFUSION SERVICES 202, INC. OPTUM INFUSION SERVICES 203, INC.

15529 College Blvd., Lenexa, KS, 66219-1351, US

OPTUM INFUSION SERVICES 205, INC. OPTUM INFUSION SERVICES 202, INC. OPTUM INFUSION SERVICES 203, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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