Entity Name: | SUREMEDICAL SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 22 Mar 2010 (15 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | L10000031236 |
FEI/EIN Number | 272181328 |
Address: | 13400 SW 83 AVE., PINECREST, FL, 33156 |
Mail Address: | 13400 SW 83 AVE., PINECREST, FL, 33156 |
ZIP code: | 33156 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114231800 | 2010-08-05 | 2011-08-16 | 11410 INTERCHANGE CIR N, MIRAMAR, FL, 330256005, US | 11410 INTERCHANGE CIR N, MIRAMAR, FL, 330256005, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 954-437-1835 |
Fax | 9544371775 |
Authorized person
Name | AIMAN ARYAN |
Role | MGRM |
Phone | 3055450533 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | No |
Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
License Number | PH24769 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 5701342 |
Issuer | MEDICAID |
Number | 002936400 |
State | FL |
Name | Role | Address |
---|---|---|
ARYAN AIMAN | Agent | 13400 SW 83 AVE., PINECREST, FL, 33156 |
Name | Role | Address |
---|---|---|
ARYAN AIMAN | Managing Member | 13400 SW 83 AVE., PINECREST, FL, 33156 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G10000111578 | RDS/PHARMACY #1 | EXPIRED | 2010-12-07 | 2015-12-31 | No data | 11410 INTERCHANGE CIRCLE NORTH, MIRAMAR, FL, 33025 |
G10000031285 | PHARMAAID | EXPIRED | 2010-04-07 | 2015-12-31 | No data | 13400 SW 83RD AVENUE, PINECREST, FL, 33156 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
LC AMENDMENT | 2010-10-14 | No data | No data |
LC AMENDMENT | 2010-05-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-02-16 |
LC Amendment | 2010-10-14 |
LC Amendment | 2010-05-26 |
Florida Limited Liability | 2010-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State