| Entity Name: | SENIOR CARE PHARMACY OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SENIOR CARE PHARMACY OF FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 31 May 2002 (23 years ago) |
| Date of dissolution: | 10 May 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 May 2018 (7 years ago) |
| Document Number: | L02000013484 |
| FEI/EIN Number |
270016605
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 931 FAIRFAX PARK, Tuscaloosa, AL, 35406, US |
| Mail Address: | 931 FAIRFAX PARK, Tuscaloosa, AL, 35406, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023090362 | 2005-11-14 | 2017-02-14 | 931 FAIRFAX PARK, ATTN: LYNN CONNOR, TUSCALOOSA, AL, 354062805, US | 4175 S PIPKIN RD STE 208, LAKELAND, FL, 338111699, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 205-310-8627 |
| Phone | +1 863-577-1440 |
Authorized person
| Name | ALAN OBRINGER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8635771440 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH18723 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2014992 |
| Issuer | MEDICAID |
| Number | 025634000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SENIOR CARE PHARMACY OF FLORIDA, LLC 401(K) PLAN | 2009 | 270016605 | 2010-10-07 | SENIOR CARE PHARMACY OF FLORIDA, LLC | 28 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 270016605 |
| Plan administrator’s name | SENIOR CARE PHARMACY OF FLORIDA, LLC |
| Plan administrator’s address | 5309 GREAT OAK DRIVE, LAKELAND, FL, 33815 |
| Administrator’s telephone number | 8635771440 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-07 |
| Name of individual signing | KENDRA CAIRNS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Connor Lynn W | Director | 931 Fairfax Park, Tuscaloosa, AL, 35406 |
| McKinley Jennifer K | Manager | 931 Fairfax Park, Tuscaloosa, AL, 35406 |
| C T CORPORATION SYSTEM | Agent | - |
| Estes Norman | President | 931 Fairfax Park, Tuscaloosa, AL, 35406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-10 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-05 | 931 FAIRFAX PARK, Tuscaloosa, AL 35406 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-20 | 931 FAIRFAX PARK, Tuscaloosa, AL 35406 | - |
| REINSTATEMENT | 2007-03-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-05-10 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-02-16 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
