| Entity Name: | NDBP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Sep 2008 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L08000088738 |
| FEI/EIN Number | 800260879 |
| Address: | 523 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33076 |
| Mail Address: | 523 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356581243 | 2009-03-05 | 2010-10-19 | 523 E SAMPLE RD, POMPANO BEACH, FL, 330644425, US | 523 E SAMPLE RD, POMPANO BEACH, FL, 330644425, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 954-785-7747 |
| Fax | 9547857450 |
Authorized person
| Name | BHARAT PATEL |
| Role | PHCY MGR / PRESIDENT |
| Phone | 9547857747 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23936 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1043152 |
| Name | Role | Address |
|---|---|---|
| PATEL BHARATKUMAR | Agent | 523 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| PATEL JAGDIP | Vice President | 125 WOODLAKE CIRCLE, LAKE WORTH, FL, 33463 |
| Dadia Mahasukhlal | Vice President | 5520 NW 106th Drive, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| PATEL BHARATKUMAR | President | 523 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08268900407 | SAMPLE SQUARE PHARMACY | EXPIRED | 2008-09-24 | 2013-12-31 | No data | 523 SAMPLE ROAD, POMPANO, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC AMENDMENT | 2012-03-23 | No data | No data |
| LC AMENDMENT | 2011-02-28 | No data | No data |
| LC AMENDMENT | 2010-07-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-07-19 | PATEL, BHARATKUMAR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-07-19 | 523 EAST SAMPLE ROAD, POMPANO BEACH, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-07 |
| LC Amendment | 2012-03-23 |
| ANNUAL REPORT | 2012-01-07 |
| LC Amendment | 2011-02-28 |
| ANNUAL REPORT | 2011-02-06 |
| LC Amendment | 2010-07-19 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-29 |
| Florida Limited Liability | 2008-09-18 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
