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 |
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 | |||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PHAN, ANH | Agent | 1209 TECH BLVD, SUITE# 211, TAMPA, FL 33619 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
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