| Entity Name: | INFUSION SYSTEMS OF S. W. FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Oct 1990 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Oct 1992 (32 years ago) |
| Document Number: | S08961 |
| FEI/EIN Number | 65-0228364 |
| Address: | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Mail Address: | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295869907 | 2007-03-15 | 2016-02-18 | 1826 BOY SCOUT DR, FORT MYERS, FL, 339072113, US | 1826 BOY SCOUT DR, FORT MYERS, FL, 339072113, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 239-482-3022 |
| Fax | 2394826411 |
Authorized person
| Name | JEFF STEELE |
| Role | PRESIDENT |
| Phone | 2394823022 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH11670 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101214200 |
| State | FL |
| Issuer | PK |
| Number | 2007332 |
| Name | Role | Address |
|---|---|---|
| LARREA, MILTON F | Agent | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| STEELE, JEFF S | Director | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| LARREA, MILTON F | Director | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| STEELE, JEFF S | President | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| STEELE, JEFF S | Treasurer | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| LARREA, MILTON F | Vice President | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| LARREA, MILTON F | Secretary | 1826 Boy Scout Drive, FT. MYERS, FL 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000073995 | MYERLEE NURSING HOME PHARMACY DBA MYERLEE NPH | EXPIRED | 2018-07-05 | 2023-12-31 | No data | 1826 BOY SCOUT DRIVE, SUITE #110, FORT MYERS, FL, 33907 |
| G10000013854 | MYERLEE PHARMACY | ACTIVE | 2010-02-11 | 2025-12-31 | No data | 1826 BOY SCOUT DRIVE, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 1826 Boy Scout Drive, FT. MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-22 | 1826 Boy Scout Drive, FT. MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 1826 Boy Scout Drive, FT. MYERS, FL 33907 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-11 | LARREA, MILTON F | No data |
| REINSTATEMENT | 1992-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
