| Entity Name: | DON HOUSTON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Feb 1984 (41 years ago) |
| Document Number: | G86877 |
| FEI/EIN Number | 592376991 |
| Address: | 297 N. MARION AVE., LAKE CITY, FL, 32055 |
| Mail Address: | PO BOX 1648, LAKE CITY, FL, 32056 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467474411 | 2006-07-25 | 2023-03-07 | 297 N MARION AVE, LAKE CITY, FL, 320552866, US | 297 N MARION AVE, LAKE CITY, FL, 320552866, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-752-1793 |
| Fax | 3867520611 |
Authorized person
| Name | MR. DONALD RAY HOUSTON |
| Role | PRESIDENT |
| Phone | 3867521793 |
Taxonomy
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PH630 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | PH630 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH630 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PH630 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NABP |
| Number | 1052163 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, DONALD RAY | Agent | 297 N. MARION AVE., LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, DONALD RAY | Director | 297 N.MARION AVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, DONALD RAY | President | 297 N.MARION AVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, DONALD RAY | Treasurer | 297 N.MARION AVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, PHYLLIS | Vice President | 297 N. MARION AVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| HOUSTON, PHYLLIS | Secretary | 297 N. MARION AVE, LAKE CITY, FL, 32055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09030900428 | DESOTO DRUG STORE | EXPIRED | 2009-01-30 | 2014-12-31 | No data | 297 N MARION AVENUE, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
