| Entity Name: | MED 1ST, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MED 1ST, L.L.C. 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: | 22 Oct 2004 (21 years ago) |
| Date of dissolution: | 16 Apr 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Apr 2014 (11 years ago) |
| Document Number: | L04000077236 |
| FEI/EIN Number |
421681796
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1408 N Dale Mabry Hwy Ste 115, Lutz, FL, 33548, US |
| Mail Address: | 1408 N Dale Mabry Hwy Ste 115, Lutz, FL, 33548, US |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174645477 | 2007-04-06 | 2009-08-31 | 11206 CHALLENGER AVE, UNIT D, ODESSA, FL, 335563482, US | 11206 CHALLENGER AVE, UNIT D, ODESSA, FL, 335563482, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-375-9898 |
| Fax | 7273759870 |
Authorized person
| Name | TERENCE WILLIAMS |
| Role | CO OWNER |
| Phone | 7273759898 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0003X - Managed Care Organization Pharmacy |
| License Number | PH22474 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1025370 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS TERENCE | Managing Member | 3959 Van Dyke Rd, LUTZ, FL, 33558 |
| WILLIAMS TERENCE | Agent | 1408 DALE MABRY HWY STE 115, LUTZ, FL, 33548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-16 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-17 | 1408 N Dale Mabry Hwy Ste 115, Lutz, FL 33548 | - |
| CHANGE OF MAILING ADDRESS | 2013-04-17 | 1408 N Dale Mabry Hwy Ste 115, Lutz, FL 33548 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-30 | 1408 DALE MABRY HWY STE 115, LUTZ, FL 33548 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-03-19 |
| ANNUAL REPORT | 2008-06-09 |
| Off/Dir Resignation | 2007-05-31 |
| ANNUAL REPORT | 2007-05-16 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-02-10 |
Date of last update: 02 May 2025
Sources: Florida Department of State
