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MEDASSIST RX, LLC

Company Details

Entity Name: MEDASSIST RX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 08 Nov 2005 (19 years ago)
Date of dissolution: 14 Sep 2007 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 14 Sep 2007 (17 years ago)
Document Number: L05000108157
FEI/EIN Number 20-3744462
Address: 1209 TECH BLVD, SUITE# 211, TAMPA, FL 33619
Mail Address: 1209 TECH BLVD, SUITE# 211, TAMPA, FL 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679522635 2006-05-08 2020-08-22 1209 TECH BLVD, STE 211, TAMPA, FL, 336197870, US 1209 TECH BLVD, STE 211, TAMPA, FL, 336197870, US

Contacts

Phone +1 813-620-4101
Fax 8136204161

Authorized person

Name ANH PHAN
Role OWNER
Phone 8133857249

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH21715
State FL
Is Primary Yes

Other Provider Identifiers

Issuer OTHER ID NUMBER-COMMERCIAL NUMBER
Number 1018957

Agent

Name Role Address
PHAN, ANH Agent 1209 TECH BLVD, SUITE# 211, TAMPA, FL 33619

Managing Member

Name Role Address
PHAN, ANH Managing Member 1209 TECH BLVD SUITE# 211, TAMPA, FL 33619
GEORGE, KAYSEY Managing Member 1104 CAMPHOR GLEN OAK, VALRICO, FL 33594

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2006-02-02
Florida Limited Liability 2005-11-08

Date of last update: 03 Jan 2025

Sources: Florida Department of State