| Entity Name: | INNOVATIVE NURSING MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Apr 1995 (30 years ago) |
| Document Number: | P95000034240 |
| FEI/EIN Number | 593317205 |
| Address: | 499 E CENTRAL PARKWAY, SUITE 100, ALTAMONTE SPRINGS, FL, 32701-3499, US |
| Mail Address: | 499 E CENTRAL PARKWAY, SUITE 100, ALTAMONTE SPRINGS, FL, 32701-3499, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508932732 | 2006-11-28 | 2011-03-10 | 499 E CENTRAL PKWY, SUITE 100, ALTAMONTE SPRINGS, FL, 327013402, US | 499 E CENTRAL PKWY, SUITE 100, ALTAMONTE SPRINGS, FL, 327013402, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-647-4895 |
| Fax | 4076475580 |
Authorized person
| Name | KAREN VOLOSIN |
| Role | OWNER |
| Phone | 4076474895 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH 13650 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 1078042 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103421900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEFKOWITZ IVAN M | Agent | 430 NORTH MILLS AVENUE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| VOLOSIN KAREN J | President | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| VOLOSIN KAREN J | Treasurer | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| VOLOSIN DOUGLAS D | Vice President | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| VOLOSIN DOUGLAS D | Secretary | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| VOLOSIN DOUGLAS D | Director | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| VOLOSIN KAREN J | Director | 922 MILLS ESTATE PLACE, CHULUOTA, FL, 32766 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 1996-06-12 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
