| Entity Name: | S & B HEALTH SYSTEMS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jan 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2020 (4 years ago) |
| Document Number: | L12000010910 |
| FEI/EIN Number | 45-5282510 |
| Address: | 2144 H R LANE, COCOA, FL, 32926 |
| Mail Address: | 2144 H R LANE, COCOA, FL, 32926 |
| ZIP code: | 32926 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003169699 | 2012-10-19 | 2013-07-11 | 2711 CLEARLAKE RD # C-10, COCOA, FL, 329225721, US | 2711 CLEARLAKE RD # C-10, COCOA, FL, 329225721, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-305-6909 |
| Fax | 3213056919 |
Authorized person
| Name | DAWN BUTTERFIELD |
| Role | OWNER/PHARMACIST |
| Phone | 3213056909 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26390 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2136033 |
| Issuer | MEDICAID |
| Number | 007213700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| butterfield dawn | Agent | 2144 H R LANE, COCOA, FL, 32926 |
| Name | Role | Address |
|---|---|---|
| SCARBROUGH DUANE | Manager | 2144 H R LANE, COCOA, FL, 32926 |
| BUTTERFIELD DAWN | Manager | 2144 H R LANE, COCOA, FL, 32926 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000034774 | WEST COCOA PHARMACY AND COMPOUNDING | EXPIRED | 2018-03-14 | 2023-12-31 | No data | 2711 CLEARLAKE RD #C-10, COCOA, FL, 32922 |
| G12000107922 | WEST COCOA PHARMACY AND COMPOUNDING | EXPIRED | 2012-11-07 | 2017-12-31 | No data | 2711 CLEARLAKE ROAD #C-10, COCOA, FL, 32922 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-21 | butterfield, dawn | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-05-27 |
| REINSTATEMENT | 2020-10-21 |
| ANNUAL REPORT | 2019-05-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
