| Entity Name: | PRIME SYNERGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIME SYNERGY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Oct 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L10000104211 |
| FEI/EIN Number |
273603839
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 32822 |
| Mail Address: | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609186899 | 2010-10-21 | 2012-05-22 | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 328226061, US | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 328226061, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-704-6626 |
| Fax | 4077046627 |
Authorized person
| Name | RAMESH PATHAK |
| Role | PHARMACY MANAGER |
| Phone | 4077046626 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH25086 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 02995300 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5702940 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ MARIA | Managing Member | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 32822 |
| JIMENEZ HEDDA | Managing Member | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 32822 |
| JIMENEZ MARIA | Agent | 7333 LAKE UNDERHILL RD, ORLANDO, FL, 32822 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000094666 | CURE AID PHARMACY | EXPIRED | 2010-10-14 | 2015-12-31 | - | 1049 SO HIAWASSEE RD APT 3418, ORLANDO, FL, 32835 |
| G10000091599 | SUNSTATE PHARMACY | EXPIRED | 2010-10-06 | 2015-12-31 | - | 1049 S HIAWASSEE RD # 3418, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-17 | 7333 LAKE UNDERHILL RD, ORLANDO, FL 32822 | - |
| CHANGE OF MAILING ADDRESS | 2011-02-17 | 7333 LAKE UNDERHILL RD, ORLANDO, FL 32822 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-17 | 7333 LAKE UNDERHILL RD, ORLANDO, FL 32822 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-02-17 |
| Florida Limited Liability | 2010-10-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
