Entity Name: | SOUTHWEST FLORIDA INFUSION CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 26 Jul 1996 (29 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 05 Jun 2008 (17 years ago) |
Document Number: | P96000063384 |
FEI/EIN Number | 65-0699783 |
Address: | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 |
Mail Address: | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790757508 | 2006-02-06 | 2015-06-01 | 3340 FAIRLANE FARMS RD, STE 4, WELLINGTON, FL, 33414, US | 3340 FAIRLANE FARMS RD., STE 4, WELLINGTON, FL, 33414, US | |||||||||||||||||||||||||||||
|
Phone | +1 561-469-1181 |
Fax | 5614691182 |
Authorized person
Name | MERDEN RABIEIFAR |
Role | PRESIDENT/PHARMACIST |
Phone | 5618764043 |
Taxonomy
Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 105405801 |
State | FL |
Issuer | MEDICAID |
Number | 105405800 |
State | FL |
Name | Role | Address |
---|---|---|
Meier, Johnny H | Agent | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
RABIEIFAR, MEROEH | President | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
RABIEIFAR, MEROEH | Secretary | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
RABIEIFAR, MEROEH | Director | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
MEIER, JOHNNY H | Director | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
MEIER, JOHNNY H | Vice President | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
Name | Role | Address |
---|---|---|
MEIER, JOHNNY H | Treasurer | 3340 Fairlane Farms Rd, Ste 4 Wellington, FL 33414 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000006997 | PALM BEACH STERILE PHARMACY | ACTIVE | 2016-01-19 | 2026-12-31 | No data | 3340 FAIRLANE FARMS RD STE 4, STE B530, WELLINGTON, FL, 33414 |
G15000070161 | MEDCARERX | ACTIVE | 2015-07-06 | 2025-12-31 | No data | 3340 FAIRLANE FARMS RD, SUITE 4, WELLINGTON, FL, 33414 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2015-01-13 | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 | No data |
CHANGE OF MAILING ADDRESS | 2015-01-13 | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 | No data |
REGISTERED AGENT NAME CHANGED | 2015-01-13 | Meier, Johnny H | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-01-13 | 3340 Fairlane Farms Rd, Ste 4, Wellington, FL 33414 | No data |
AMENDMENT | 2008-06-05 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J13001118646 | LAPSED | 12-031089 (14) | BROWARD CIRCUIT | 2012-12-13 | 2018-06-18 | $76,148.37 | CARDINAL HEALTH 110 INC, 7000 CARDINAL PLACE, DUBLIN ,OHIO 43017 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-23 |
ANNUAL REPORT | 2023-02-23 |
ANNUAL REPORT | 2022-04-17 |
ANNUAL REPORT | 2021-01-29 |
ANNUAL REPORT | 2020-05-03 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-03-06 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-01-19 |
ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State