| Entity Name: | ALL MED INFUSION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Jan 1996 (29 years ago) |
| Document Number: | P96000001846 |
| FEI/EIN Number | 593350398 |
| Address: | 3102 CHERRY PALM DRIVE, SUITE 120, TAMPA, FL, 33619 |
| Mail Address: | 3102 CHERRY PALM DRIVE, SUITE 120, TAMPA, FL, 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255396842 | 2006-04-18 | 2020-08-22 | 3102 CHERRY PALM DR, SUITE 120, TAMPA, FL, 336198314, US | 3102 CHERRY PALM DR, SUITE 120, TAMPA, FL, 336198314, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-620-3773 |
| Fax | 8136203547 |
Authorized person
| Name | MRS. CYNTHIA L. CUCUZ |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 8136203773 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH 13923 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH 13923 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH 13923 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH 13923 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH 13923 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | P7152 |
| State | FL |
| Issuer | NABP/NCPDP NUMBER |
| Number | 1087180 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLLADO MELINDA J | Agent | 15212 TILWOOD PLACE, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| CUCUZ CYNTHIA | VSMD | 4714 SAN MIGUEL ST, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| COLLADO MELINDA | PMDC | 15212 TILWOOD PLACE, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| EHRMAN MARK | Director | 55 WINDSOR ROAD, WABAN, MA, 02168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J08900002762 | LAPSED | 07-28993-L | HILLSBOROUGH CTY CRT CIVIL DIV | 2007-12-17 | 2013-02-19 | $8943.58 | ROCHE DIAGNOSTICS CORP., P.O. BOX 50457, INDIANAPOLIS, IN 46250 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
