| Entity Name: | L & M PHARMACY 2 , L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Aug 2004 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L04000057661 |
| FEI/EIN Number | 20-1447129 |
| Address: | 1885 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 |
| Mail Address: | 7040 WEST PALMETTO PARK ROAD, SUITE 12, BOCA RATON, FL 33433 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225141807 | 2006-08-16 | 2020-08-22 | 7040 W PALMETTO PARK RD, SUITE 12, BOCA RATON, FL, 334333407, US | 1865 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334266321, US | |||||||||||||||||||||||||
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| Phone | +1 561-620-2611 |
| Fax | 5616204999 |
| Phone | +1 561-734-1918 |
| Fax | 5617341909 |
Authorized person
| Name | MARK JAY RUBIN |
| Role | PRESIDENT |
| Phone | 5617563257 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 05028219700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUBIN, MARK J | Agent | 7040 W. PALMETTO PARK ROAD, SUITE 12, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| RUBIN, MARK J | Managing Member | 7040 W. PALMETTO PARK ROAD, BOCA RATON, FL 33433 |
| BIRNBAUM, LARRY | Managing Member | 7040 W. PALMETTO PARK ROAD, BOCA RATON, FL 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-23 | 1885 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-01-30 |
| ANNUAL REPORT | 2006-04-23 |
| ANNUAL REPORT | 2005-07-11 |
| Florida Limited Liability | 2004-08-04 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
