| Entity Name: | MEDO HEALTH CARE L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Mar 2010 (15 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: | L10000024379 |
| FEI/EIN Number | 272788157 |
| Address: | 1015 STATE ROAD 436, SUITE # 117, CASSELBERRY, FL, 32707 |
| Mail Address: | 1015 STATE ROAD 436, SUITE # 117, CASSELBERRY, FL, 32707 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588970172 | 2010-08-20 | 2012-12-20 | 1015 STATE ROAD 436 STE 117, CASSELBERRY, FL, 327075756, US | 1015 STATE ROAD 436 STE 117, CASSELBERRY, FL, 327075756, US | |||||||||||||||||||||||
|
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| Phone | +1 321-972-8947 |
| Fax | 3219728983 |
Authorized person
| Name | MILLAD AYYAD |
| Role | PHARMACY OWNER |
| Phone | 5712014134 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24798 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5701328 |
| Name | Role | Address |
|---|---|---|
| AYYAD MILLAD K | Agent | 2825 SOUTH WASHINGTON AVE, TITUSVILLE, FL, 32780 |
| Name | Role | Address |
|---|---|---|
| AYYAD MILLAD K | Manager | 1015 STATE ROAD 436, SUITE 117, CASSELBERRY, FL, 32707 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000044753 | CASSELBERRY DISCOUNT PHARMACY | EXPIRED | 2010-05-21 | 2015-12-31 | No data | 1015 STATE ROAD 436, SUITE # 117, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-15 | 1015 STATE ROAD 436, SUITE # 117, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-15 | 1015 STATE ROAD 436, SUITE # 117, CASSELBERRY, FL 32707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-03-15 |
| Florida Limited Liability | 2010-03-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
