| Entity Name: | ST. PHILOPATER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Mar 2011 (14 years ago) |
| Date of dissolution: | 30 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2022 (3 years ago) |
| Document Number: | L11000025465 |
| FEI/EIN Number | 90-0664440 |
| Address: | 1015 State Road 436 Suite 117, Casselberry, FL 32707 |
| Mail Address: | 235 Lakay Pl, Longwood, FL 32779 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528515905 | 2016-09-02 | 2016-12-18 | 1015 STATE ROAD 436, SUITE 117, CASSELBERRY, FL, 327075741, US | 1015 STATE ROAD 436 STE 117, CASSELBERRY, FL, 327075756, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-636-5444 |
| Fax | 4076366878 |
Authorized person
| Name | MARIAM ZAKHARY |
| Role | MGR |
| Phone | 7727137309 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30236 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018777300 |
| State | FL |
| Issuer | PK |
| Number | 2163983 |
| Name | Role | Address |
|---|---|---|
| ZAKHARY, MARIAM A | Agent | 235 Lakay Pl, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| ZAKHARY, MARIAM A | Manager | 235 Lakay Pl, Longwood, FL 32779 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000095696 | BEST CARE PHARMACY | EXPIRED | 2016-09-02 | 2021-12-31 | No data | 1015 SR 436, SUITE 117, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 1015 State Road 436 Suite 117, Casselberry, FL 32707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-23 | 1015 State Road 436 Suite 117, Casselberry, FL 32707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-02 | 235 Lakay Pl, Longwood, FL 32779 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-30 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-02 |
| ANNUAL REPORT | 2015-01-29 |
| ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2013-02-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5864547406 | 2020-05-13 | 0491 | PPP | 1015 State road 436, Casselberry, FL, 32707 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Feb 2025
Sources: Florida Department of State
