| Entity Name: | DELTONA MEDICAL ARTS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DELTONA MEDICAL ARTS PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Mar 1969 (56 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | 343122 |
| FEI/EIN Number |
591261210
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 32763, US |
| Mail Address: | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225545064 | 2018-01-02 | 2018-07-19 | 1200 DELTONA BLVD, SUITE 50, DELTONA, FL, 327256306, US | 1200 DELTONA BLVD, SUITE 50, DELTONA, FL, 327256306, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-259-4712 |
| Fax | 3862594712 |
Authorized person
| Name | MUKESH AMIN |
| Role | PRESIDENT |
| Phone | 3867747933 |
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 | PH31105 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 711979 |
| State | FL |
| Issuer | PK |
| Number | 2177518 |
| Name | Role | Address |
|---|---|---|
| KHAN AREEBA | Director | 19 AMIRA LANE, Kinnelon, NJ, 07405 |
| KHAN AREEBA | Agent | 116 boonton ave, Kinnelon, FL, 07405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000053757 | APEX HEALTH RX | EXPIRED | 2019-05-02 | 2024-12-31 | - | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 32763 |
| G18000057937 | TOWNCENTER PHARMACY 1 | EXPIRED | 2018-05-11 | 2023-12-31 | - | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 32763 |
| G17000134405 | TOWN CENTER PHARMACY DELTONA | EXPIRED | 2017-12-08 | 2022-12-31 | - | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL, 32763 |
| G09077900315 | TOWN CENTER PHARMACY | EXPIRED | 2009-03-18 | 2014-12-31 | - | 921 TOWN CENTER DRIVE, SUITE 100, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-02-28 | KHAN, AREEBA | - |
| CHANGE OF MAILING ADDRESS | 2019-04-22 | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL 32763 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-22 | 116 boonton ave, Kinnelon, FL 07405 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-15 | 921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL 32763 | - |
| REINSTATEMENT | 1995-11-29 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000262501 | TERMINATED | 1000000954594 | VOLUSIA | 2023-05-25 | 2033-06-07 | $ 551.60 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J23000029942 | ACTIVE | 21-003-D4-OPA | LEON | 2022-10-14 | 2028-01-24 | $13,725.36 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| J23000366864 | ACTIVE | CL21-3181 | VIRGINIA DISTRICT COURT CHESTE | 2022-08-16 | 2028-08-08 | $110,488.75 | KAPITUS SERVICING, INC. F/K/A COLONIAL FUNDING NETWORK,, 120 WEST 45TH STREET, 6TH FLOOR, NEW YORK, NY 10036 |
| J22000123465 | ACTIVE | 2021-11248-CIDL | CIRCUIT COURT - VOLUSIA COUNTY | 2022-02-01 | 2027-03-15 | $1,247,524.10 | SMITH DRUG COMPANY, A DIVISION OF JM SMITH CORPORATION, 101 WEST ST. JOHN STREET, SUITE 305, SPARTANBURG, SC 29306 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-28 |
| AMENDED ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-03-09 |
| ANNUAL REPORT | 2014-03-11 |
| ANNUAL REPORT | 2013-02-07 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
