| Entity Name: | DELTONA PHARMACY OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Mar 2009 (16 years ago) |
| Date of dissolution: | 31 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Jan 2024 (a year ago) |
| Document Number: | L09000028131 |
| FEI/EIN Number | 264507363 |
| Address: | 25987 S TAMIAMI TRL, BONITA SPRINGS, FL, 34134, US |
| Mail Address: | 25987 S TAMIAMI TRL, BONITA SPRINGS, FL, 34134, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548496425 | 2009-06-04 | 2009-06-04 | 776 DELTONA BLVD, DELTONA, FL, 327257107, US | 776 DELTONA BLVD, DELTONA, FL, 327257107, US | |||||||||||||||||||||
|
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| Phone | +1 386-574-7600 |
| Fax | 3865741489 |
Authorized person
| Name | MR. RAMKRISHNA PATEL |
| Role | OWNER |
| Phone | 3865747600 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA LICENSE |
| Number | PH24105 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RANDULFE CARLOS X | Agent | 25987 S TAMIAMI TRL, BONITA SPRINGS, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| Randulfe Carlos | Manager | 25987 S Tamiami Trl, Bonita Springs, FL, 34134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000070021 | DELTONA PHARMACY OF FLORIDA LLC | ACTIVE | 2023-06-07 | 2028-12-31 | No data | 1491 OLDE KENSINGTON LN, DELTONA, FL, 32725 |
| G20000111789 | OCEANSIDE PHARMACY | ACTIVE | 2020-08-27 | 2025-12-31 | No data | 25987 S TAMIAMI TRL STE 102, BONITA SPRINGS, FL, 34134--___ |
| G09000124792 | DELTONA PHARMACY | EXPIRED | 2009-06-22 | 2014-12-31 | No data | 776 DELTONA BLVD, DELTONA, FL, 32725 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-31 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-17 | 25987 S TAMIAMI TRL, STE 102, BONITA SPRINGS, FL 34134 | No data |
| CHANGE OF MAILING ADDRESS | 2020-08-17 | 25987 S TAMIAMI TRL, STE 102, BONITA SPRINGS, FL 34134 | No data |
| LC STMNT OF RA/RO CHG | 2020-07-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-28 | 25987 S TAMIAMI TRL, STE 102, BONITA SPRINGS, FL 34134 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-28 | RANDULFE, CARLOS X | No data |
| LC DISSOCIATION MEM | 2020-07-21 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-31 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-03-30 |
| CORLCRACHG | 2020-07-28 |
| CORLCDSMEM | 2020-07-21 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-02-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
