| Entity Name: | METROMEDS PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 May 2012 (13 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 27 Aug 2012 (12 years ago) |
| Document Number: | L12000072888 |
| FEI/EIN Number | 80-0821152 |
| Address: | 409 E MICHIGAN ST, ORLANDO, FL 32806 |
| Mail Address: | 409 E MICHIGAN ST, ORLANDO, FL 32806 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508115890 | 2012-09-03 | 2024-06-17 | 409 E MICHIGAN ST, ORLANDO, FL, 328064541, US | 409 E MICHIGAN ST, ORLANDO, FL, 328064541, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-888-2222 |
| Fax | 3218883999 |
Authorized person
| Name | AMGAD ESTAFAN |
| Role | MANAGER |
| Phone | 3218882222 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26329 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008094800 |
| State | FL |
| Issuer | PK |
| Number | 2139000 |
| Name | Role | Address |
|---|---|---|
| ESTAFAN, AMGAD | Agent | 409 E MICHIGAN ST, ORLANDO, FL 32806 |
| Name | Role | Address |
|---|---|---|
| ESTAFAN, AMGAD | Manager | 409 E MICHIGAN ST, ORLANDO, FL 32806 |
| ESTAFAN, MARINA | Manager | 409 E MICHIGAN ST, ORLANDO, FL 32806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000084222 | METROMEDS | EXPIRED | 2012-08-27 | 2017-12-31 | No data | 409 E MICHIGAN ST, ORLANDO, FL, 32806 |
| G12000082946 | METROMEDS | EXPIRED | 2012-08-21 | 2017-12-31 | No data | 8725-55 THE ESPLANADE DR, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-03-19 | 409 E MICHIGAN ST, ORLANDO, FL 32806 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-19 | 409 E MICHIGAN ST, ORLANDO, FL 32806 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-01 | 409 E MICHIGAN ST, ORLANDO, FL 32806 | No data |
| LC NAME CHANGE | 2012-08-27 | METROMEDS PHARMACY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-04-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1424317307 | 2020-04-28 | 0491 | PPP | 409 E MICHIGAN ST, ORLANDO, FL, 32806 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
