| Entity Name: | MY PHARMACY RX FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Sep 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L10000094676 |
| Address: | 616 21ST STREET, VERO BEACH, FL, 32960, US |
| Mail Address: | 616 21ST STREET, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053616771 | 2011-01-12 | 2011-01-25 | 616 21ST ST, VERO BEACH, FL, 329600951, US | 616 21ST ST, VERO BEACH, FL, 329600951, US | |||||||||||||||||||||||
|
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| Phone | +1 772-562-0000 |
| Fax | 7725620077 |
Authorized person
| Name | TRAVIS GRIFFITH |
| Role | OWNER/ MANAGER |
| Phone | 9546916544 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25180 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5703651 |
| Name | Role |
|---|---|
| MAYERSOHN LAW GROUP P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| DE FRANCESCHI IVO | Managing Member | 3939 NE 5TH AVENUE, APT D106, BOCA RATON, FL, 33431 |
| GRIFFITH TRAVIS | Managing Member | 7749 SUNDEW DRIVE, BOYNTON BEACH, FL, 33437 |
| YOUNG EDWIN PATRICK | Managing Member | 8578 159TH CT. NORTH, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| LC AMENDMENT | 2011-03-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-14 | MAYERSOHN LAW GROUP, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-14 | 101 NE 3RD AVE. SUITE 1250, FORT LAUDERDALE, FL 33301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-25 | 616 21ST STREET, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-25 | 616 21ST STREET, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2011-03-14 |
| ADDRESS CHANGE | 2011-01-25 |
| ADDRESS CHANGE | 2010-09-20 |
| Florida Limited Liability | 2010-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
