| Entity Name: | LEAVITT PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Mar 2006 (19 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: | L06000023119 |
| FEI/EIN Number | 204263456 |
| Address: | 2600 LAKE LUCIEN DRIVE, SUITE 180, MAITLAND, FL, 32751-7235 |
| Mail Address: | 2600 LAKE LUCIEN DRIVE, SUITE 180, MAITLAND, FL, 32751-7235 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629006291 | 2006-06-30 | 2020-08-22 | 2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL, 327517233, US | 187 SABAL PALM DR, SUITE 102, LONGWOOD, FL, 327792595, US | |||||||||||||||||||||||
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| Phone | +1 407-875-2080 |
| Fax | 4078750518 |
| Phone | +1 407-478-2799 |
| Fax | 4074782798 |
Authorized person
| Name | DAVID MORELL |
| Role | TREASURER / SECRETARY |
| Phone | 4078752080 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22020 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUTTON BILL | Agent | 2600 LAKE LUCIEN DRIVE, SUITE 180, MAITLAND, FL, 327517235 |
| Name | Role |
|---|---|
| LEAVITT MEDICAL ASSOCIATES OF FLORIDA, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-05 | SUTTON, BILL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-01-05 |
| Florida Limited Liability | 2006-03-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
