| Entity Name: | MEDICAL ARTS PRESCRIPTION SHOP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Nov 1969 (55 years ago) |
| Date of dissolution: | 18 Oct 2000 (24 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Oct 2000 (24 years ago) |
| Document Number: | 355241 |
| FEI/EIN Number | 59-1275107 |
| Address: | 1516 ANCHOR COURT, ORLANDO, FL 32804 |
| Mail Address: | 1516 ANCHOR COURT, ORLANDO FLA 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275548885 | 2006-07-30 | 2009-07-14 | 522 S HUNT CLUB BLVD, STE 350, APOPKA, FL, 327034960, US | 2021 S ORANGE AVE, ORLANDO, FL, 328063035, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-422-8104 |
| Fax | 4074228105 |
Authorized person
| Name | AMAL HEGAZY |
| Role | PHARMACIST |
| Phone | 4074228104 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH15515 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106172100 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1018250 |
| Name | Role | Address |
|---|---|---|
| BAUMSTEIN,JACK | Agent | 1516 ANCHOR COURT, ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| BAUMSTEIN,ROSALIND | Director | 1516 ANCHOR CT., ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| BAUMSTEIN, JACK | President | 1516 ANCHOR COURT, ORLANDO, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2000-10-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-03-19 | 1516 ANCHOR COURT, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 1998-03-19 | 1516 ANCHOR COURT, ORLANDO, FL 32804 | No data |
| REGISTERED AGENT NAME CHANGED | 1993-02-17 | BAUMSTEIN,JACK | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1993-02-17 | 1516 ANCHOR COURT, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2000-10-18 |
| ANNUAL REPORT | 2000-02-09 |
| ANNUAL REPORT | 1999-03-06 |
| ANNUAL REPORT | 1998-03-19 |
| ANNUAL REPORT | 1997-02-03 |
| ANNUAL REPORT | 1996-01-26 |
| ANNUAL REPORT | 1995-01-20 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
