| Entity Name: | MITCHELL CUSTOM CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Mar 2007 (18 years ago) |
| Document Number: | L07000027916 |
| FEI/EIN Number | 208652837 |
| Address: | 65 River Falls Drive, COCOA BEACH, FL, 32931, US |
| Mail Address: | 65 River Falls Drive, COCOA BEACH, FL, 32931, US |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720246663 | 2008-05-28 | 2016-04-01 | 13224 BOYETTE RD, RIVERVIEW, FL, 335695702, US | 13224 BOYETTE RD, RIVERVIEW, FL, 335695702, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 813-341-1050 |
| Fax | 8133411051 |
Authorized person
| Name | LEOTT WYDETIC |
| Role | OWNER |
| Phone | 8133411050 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH23267 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2011692 |
| Name | Role | Address |
|---|---|---|
| Lowdermilk Leott F | Agent | 3708 CRESTWOOD DR, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| Lowdermilk LEOTT F | Auth | 3708 CRESTWOOD DR, VALRICO, FL, 33596 |
| Lowdermilk Gregory A | Auth | 3708 CRESTWOOD DR, VALRICO, FL, 33596 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000041028 | DR LEOTT'S CUSTOM CARE | ACTIVE | 2024-03-22 | 2029-12-31 | No data | 3433 LITHIA PINECREST RD, #283, VALRICO, FL, 33596 |
| G24000041026 | MY PHARMACIST SAYS | ACTIVE | 2024-03-22 | 2029-12-31 | No data | 3433 LITHIA PINECREST RD, #283, VALRICO, FL, 33596 |
| G24000008129 | PHARMACISTS SPEAKING FRANKLY | ACTIVE | 2024-01-13 | 2029-12-31 | No data | 3708 CRESTWOOD DR, VALRICO, FL, 33596--603 |
| G23000090954 | INTEGRATIVE PHARMACY CONSULTANTS | ACTIVE | 2023-08-03 | 2028-12-31 | No data | 3433 LITHIA PINECREST RD, #283, VALRICO, FL, 33596--603 |
| G23000090950 | HAVERIX RACING | ACTIVE | 2023-08-03 | 2028-12-31 | No data | 3708 CRESTWOOD DR, VALRICO, FL, 33596--603 |
| G14000011282 | LIVE AND LEARN | EXPIRED | 2014-02-01 | 2024-12-31 | No data | 3708 CRESTWOOD DRIVE, VALRICO, FL, 33596 |
| G12000078091 | TERNION HEALTH & WELLNESS CENTER | EXPIRED | 2012-08-07 | 2017-12-31 | No data | 3708 CRESTWOOD DRIVE, VALRICO, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-19 | 65 River Falls Drive, COCOA BEACH, FL 32931 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-19 | 65 River Falls Drive, COCOA BEACH, FL 32931 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-18 | Lowdermilk, Leott F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-14 | 3708 CRESTWOOD DR, VALRICO, FL 33596 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000781804 | TERMINATED | 1000000181554 | HILLSBOROU | 2010-07-16 | 2020-07-21 | $ 478.41 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
