| Entity Name: | DUTTA,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Oct 2014 (10 years ago) |
| Document Number: | L09000021189 |
| FEI/EIN Number | 264568601 |
| Address: | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL, 33713, FL |
| Mail Address: | 1839 CENTRAL AVE, FIRST FLOOR, #101, ST PETERSBURG, FL, 33713, FL |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922236421 | 2009-06-24 | 2017-01-20 | 1839 CENTRAL AVE, U 101, SAINT PETERSBURG, FL, 337138900, US | 1839 CENTRAL AVE, SAINT PETERSBURG, FL, 337138900, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-894-3001 |
| Fax | 7278943000 |
Authorized person
| Name | VISHAL MALKAN |
| Role | MANAGING MEMBER |
| Phone | 8132859365 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24140 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2120787 |
| Issuer | MEDICAID |
| Number | 001304900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALKAN VISHAL | Agent | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| MALKAN VISHAL | Managing Member | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| MALKAN SWEETY | Manager | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL, 33713 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000010834 | HEALTHMED PHARMACY | ACTIVE | 2016-01-29 | 2027-12-31 | No data | 1839 CENTRAL AVE, FIRST FLOOR, STE 101, SAINT PETERSBURG, FL, 33715 |
| G09000174561 | HEALTHMED PHARMACY | EXPIRED | 2009-11-09 | 2014-12-31 | No data | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2014-10-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-14 | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL 33713 FL | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-19 | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL 33713 FL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-01 | 1839 CENTRAL AVE, FIRST FLOOR, ST PETERSBURG, FL 33713 | No data |
| LC AMENDMENT | 2009-08-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
