| Entity Name: | HABANA HOSPITAL PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HABANA HOSPITAL 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: | 23 Feb 1970 (55 years ago) |
| Date of dissolution: | 11 Oct 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Oct 2016 (9 years ago) |
| Document Number: | 360040 |
| FEI/EIN Number |
591296170
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4710 N. HABANA AVE., SUITE 101, TAMPA, FL, 33614 |
| Mail Address: | 4710 N. HABANA AVE., SUITE 101, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528167194 | 2006-09-21 | 2015-04-07 | 4710 N HABANA AVE, #101, TAMPA, FL, 336147161, US | 4710 N HABANA AVE, #101, TAMPA, FL, 336147161, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-872-7771 |
| Fax | 8138728295 |
Authorized person
| Name | DR. TERRENCE CAMERON MYERS JR. |
| Role | PRESIDENT/PHARMACIST |
| Phone | 8138727771 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH1515 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101847700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Myers Terrance | Director | 4710 N. HABANA AVE., TAMPA, FL, 33614 |
| Goodkin Ryan | Director | 4710 N. HABANA AVE., TAMPA, FL, 33614 |
| Medendorp Steven | Director | 4710 N Habana Ave, TAMPA, FL, 33614 |
| Medendorp Steven R | Agent | 4710 N. HABANA AVE., SUITE 101, TAMPA, FL, 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000030680 | HABANA HOSPITAL PHARMACY | EXPIRED | 2014-03-26 | 2019-12-31 | - | 4710 N. HABANA AVENUE, SUITE 101, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-10-11 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-03-27 | Medendorp, Steven R | - |
| REINSTATEMENT | 1995-10-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | - | - |
| REINSTATEMENT | 1994-12-16 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | - | - |
| REINSTATEMENT | 1993-10-25 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1993-08-13 | - | - |
| REINSTATEMENT | 1991-10-28 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1991-10-11 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-10-11 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-02-22 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-02-18 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-05-18 |
| ANNUAL REPORT | 2010-04-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
