| Entity Name: | BRIOVARX OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 14 Nov 2002 (22 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 May 2016 (9 years ago) |
| Document Number: | F02000005700 |
| FEI/EIN Number | 11-3647935 |
| Address: | 11000 Optum Circle, Eden Prairie, MN, 55344, US |
| Mail Address: | 11000 Optum Circle, Eden Prairie, MN, 55344, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912328717 | 2013-12-20 | 2023-02-15 | BRIOVARX PHARMACY, PO BOX 848119, LOS ANGELES, CA, 900848119, US | 9994 PREMIER PKWY, MIRAMAR, FL, 330253209, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 877-889-6358 |
| Fax | 7609360669 |
| Phone | +1 855-438-4510 |
| Fax | 9544439654 |
Authorized person
| Name | DAVID OBERG |
| Role | VICE PRESIDENT, COMPLIANCE |
| Phone | 9499885893 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2143582 |
| Issuer | RESIDENT STATE PHARMACY LICENSE |
| Number | PH18917 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Shumacher M.D Ronald J | Director | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Steinbrecher Holly E | Director | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Name | Role | Address |
|---|---|---|
| Lang Heather A | Assi | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Friedman Daniel J | Assi | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Name | Role | Address |
|---|---|---|
| Gill Peter M | Treasurer | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Name | Role | Address |
|---|---|---|
| Liethen John J | Secretary | 11000 Optum Circle, Eden Prairie, MN, 55344 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000052583 | BRIOVARX OF FLORIDA | EXPIRED | 2016-05-26 | 2021-12-31 | No data | 9994 PREMIER PARKWAY, MIRAMAR, FL, 33025-3209 |
| G08165700008 | INFORMEDMAIL | EXPIRED | 2008-06-13 | 2013-12-31 | No data | 2441 WARRENVILLE RD STE 610, LISLE, IL, 60532 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-23 | 11000 Optum Circle, Eden Prairie, MN 55344 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-23 | 11000 Optum Circle, Eden Prairie, MN 55344 | No data |
| NAME CHANGE AMENDMENT | 2016-05-17 | BRIOVARX OF FLORIDA, INC. | No data |
| NAME CHANGE AMENDMENT | 2012-11-02 | CATAMARAN HOME DELIVERY OF FLORIDA, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2008-07-03 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-03 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-23 |
| AMENDED ANNUAL REPORT | 2022-12-13 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-24 |
| AMENDED ANNUAL REPORT | 2020-08-24 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
