| Entity Name: | FAMILY FOCUS INFUSION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Sep 1995 (29 years ago) |
| Date of dissolution: | 28 Jul 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Jul 2010 (15 years ago) |
| Document Number: | P95000068811 |
| FEI/EIN Number | 59-3332965 |
| Address: | 3986 BOULEVARD CENTER DRIVE, SUITE 1, JACKSONVILLE, FL 32207 |
| Mail Address: | 8016 PLAINFIELD ROAD, CINCINNATI, OH 45236 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1346239332 | 2005-10-21 | 2008-07-16 | 4417 BEACH BLVD, STE 101, JACKSONVILLE, FL, 322074728, US | 4417 BEACH BLVD, STE 101, JACKSONVILLE, FL, 322074728, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-855-0040 |
| Fax | 9048550072 |
Authorized person
| Name | MS. DANA W SOPER |
| Role | CEO |
| Phone | 9048550040 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PS 26357 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1835N1003X - Nutrition Support Pharmacist |
| License Number | PS 26357 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH 13657 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH 13657 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH 13657 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103302601 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103302602 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103302600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| WAUD, REEVE | Manager | 8016 PLAINFIELD RD, CINCINNATI, OH 45236 |
| CLARY, MATTHEW | Manager | 8016 PLAINFIELD RD, CINCINNATI, OH 45236 |
| SOPER, DANA WCEO | Manager | 8016 PLAINFIELD RD, CINCINNATI, OH 45236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-07-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-30 | 3986 BOULEVARD CENTER DRIVE, SUITE 1, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-16 | 3986 BOULEVARD CENTER DRIVE, SUITE 1, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-16 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-07-28 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-16 |
| Reg. Agent Change | 2009-04-16 |
| ANNUAL REPORT | 2008-01-08 |
| ANNUAL REPORT | 2007-08-20 |
| ANNUAL REPORT | 2007-01-17 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-01-06 |
| ANNUAL REPORT | 2004-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
