| Entity Name: | FLORIDA INTEGRATED HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2006 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 May 2007 (18 years ago) |
| Document Number: | L06000111812 |
| FEI/EIN Number | 205916507 |
| Address: | 3202 W. BAKER ST, PLANT CITY, FL, 33563, US |
| Mail Address: | 3202 W. BAKER ST, PLANT CITY, FL, 33563, US |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164789608 | 2012-04-23 | 2018-03-17 | 3202 W BAKER ST, PLANT CITY, FL, 335632849, US | 1905 W BAKER ST STE B, PLANT CITY, FL, 335631601, US | |||||||||||||||||||||||||||
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| Phone | +1 813-704-6857 |
| Fax | 8137566938 |
| Phone | +1 813-719-3278 |
| Fax | 8137547540 |
Authorized person
| Name | ABIOLA ADEYEMO |
| Role | OWNER |
| Phone | 8137193278 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH22531 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5710024 |
| Name | Role | Address |
|---|---|---|
| ADEYEMO ABIOLA A | Agent | 4213 TRUMPWORTH COURT, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| ADEYEMO ABIOLA A | President | 4213 TRUMPWORTH COURT, VALRICO, FL, 33596 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000104016 | JUST $1 & MORE | EXPIRED | 2012-10-25 | 2017-12-31 | No data | 404 N ALEXANDER ST, PLANT CITY, FL, 33563 |
| G06325900230 | FAST & FRIENDLY PHARMACY | ACTIVE | 2006-11-21 | 2026-12-31 | No data | 3202 W. BAKER ST, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-11 | 3202 W. BAKER ST, PLANT CITY, FL 33563 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-11 | 3202 W. BAKER ST, PLANT CITY, FL 33563 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-31 | 4213 TRUMPWORTH COURT, VALRICO, FL 33596 | No data |
| LC AMENDMENT | 2007-05-03 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000297984 | ACTIVE | 24-CC-004578 | 13TH JUDICIAL CIRCUT COURT | 2024-05-02 | 2029-05-17 | $1642.33 | JOHN ANDERSON, 3106 WEST BAKER STREET, PLANT CITY FL 33563 |
| J17000651572 | TERMINATED | 1000000763932 | HILLSBOROU | 2017-11-21 | 2027-11-29 | $ 623.39 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E ML KING BLVD STE 100, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
