| Entity Name: | PAVILION INFUSION THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 1996 (29 years ago) |
| Document Number: | P96000009929 |
| FEI/EIN Number | 593361021 |
| Address: | 1660 Prudential Drive, Building 2, Suite 203, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 1660 Prudential Drive, Building 2, Suite 203, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073008504 | 2018-06-27 | 2019-01-07 | 1660 PRUDENTIAL DRIVE, SUITE 203, JACKSONVILLE, FL, 32207, US | 1301 PALM AVENUE, SUITE 220, JACKSONVILLE, FL, 32207, US | |||||||||||||
|
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| Phone | +1 904-202-5887 |
Authorized person
| Name | CHRISTOPHER ROBERT DURKIN |
| Role | VP |
| Phone | 9042025887 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Baity G. S | Agent | 841 PRUDENTIAL DR., JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| DURKIN CHRISTOPHER | Director | 1660 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Tickell Keith | Director | 841 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Zuino Matthew A | Director | 841 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| DURKIN CHRISTOPHER | Vice President | 1660 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Finnegan T. S | Vice President | 841 Prudential Drive, Suite 1602, Jacksonville, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| DURKIN CHRISTOPHER | Treasurer | 1660 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Tickell Keith | President | 841 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Baity G. S | Secretary | 841 Prudential Drive, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000143753 | BAPTIST CPAP SERVICES | ACTIVE | 2021-10-26 | 2026-12-31 | No data | 1660 PRUDENTIAL DRIVE, BLDG. 2, STE. 203, JACKSONVILLE, FL, 32207 |
| G18000097293 | LIFE WELLNESS CENTER | ACTIVE | 2018-08-31 | 2028-12-31 | No data | 1301 PALM AVENUE, SUITE 210, JACKSONVILLE, FL, 32207 |
| G12000085183 | BAPTIST INFUSION THERAPY BONNEVAL | ACTIVE | 2012-08-29 | 2027-12-31 | No data | 841 PRUDENTIAL DRIVE, SUITE 1802, SUITE 1802, JACKSONVILLE, FL, 32207 |
| G08130700011 | BAPTIST RESPIRATORY THERAPY | ACTIVE | 2008-05-09 | 2028-12-31 | No data | 3563 PHILIPS HIGHWAY, SUITE 202, JACKSONVILLE, FL, 32207 |
| G08130700012 | BAPTIST INFUSION THERAPY | ACTIVE | 2008-05-09 | 2028-12-31 | No data | 3563 PHILIPS HIGHWAY, SUITE #202, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2011-07-26 | No data | No data |
| NAME CHANGE AMENDMENT | 2001-01-10 | PAVILION INFUSION THERAPY, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
