| Entity Name: | ORANGE-BAY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Oct 2007 (17 years ago) |
| Date of dissolution: | 16 Oct 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Oct 2023 (a year ago) |
| Document Number: | L07000109476 |
| FEI/EIN Number | 261329199 |
| Address: | 4625 NORTH NEBRASKA AVE, TAMPA, FL, 33603 |
| Mail Address: | 4625 NORTH NEBRASKA AVE, TAMPA, FL, 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457530040 | 2007-10-30 | 2021-09-24 | 4625 N NEBRASKA AVE, TAMPA, FL, 336034013, US | 4625 N NEBRASKA AVE, TAMPA, FL, 336034013, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-418-6780 |
| Fax | 8132380237 |
Authorized person
| Name | LANRE OKUSANYA |
| Role | CO OWNER |
| Phone | 4129962266 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23400 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 426700 |
| State | FL |
| Issuer | PK |
| Number | 2005573 |
| Name | Role | Address |
|---|---|---|
| OKUSANYA ABIOLA | Agent | 8116 RIVERMONT WAY, TAMPA, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| OKUSANYA ABIOLA A | Managing Member | 4625 NORTH NEBRASKA AVE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| OKUSANYA ADERONKE | Auth | 4625 N NEBRASKA AVE, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-30 | OKUSANYA, ABIOLA | No data |
| REINSTATEMENT | 2011-11-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-10 | 4625 NORTH NEBRASKA AVE, TAMPA, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2011-11-10 | 4625 NORTH NEBRASKA AVE, TAMPA, FL 33603 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000605539 | TERMINATED | 1000000721770 | HILLSBOROU | 2016-09-07 | 2036-09-09 | $ 20,554.22 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J14000401967 | TERMINATED | 1000000599422 | HILLSBOROU | 2014-03-19 | 2034-03-28 | $ 2,865.52 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13001823435 | TERMINATED | 1000000561962 | HILLSBOROU | 2013-12-05 | 2033-12-26 | $ 6,348.54 | STATE OF FLORIDA0017572 |
| J11000529342 | TERMINATED | 1000000228878 | HILLSBOROU | 2011-08-09 | 2031-08-17 | $ 2,049.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-16 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-07-01 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-05-02 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
