| Entity Name: | ERGOGENIC LABS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 05 Sep 2012 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L12000113974 |
| FEI/EIN Number | 46-0952358 |
| Address: | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 |
| Mail Address: | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | ERGOGENIC LABS LLC, NEW YORK | 4514791 | NEW YORK |
| Headquarter of | ERGOGENIC LABS LLC, ILLINOIS | LLC_04559304 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093143570 | 2013-10-21 | 2013-12-19 | 11496 PIERSON RD STE C6, WELLINGTON, FL, 334148708, US | 11496 PIERSON RD STE C6, WELLINGTON, FL, 334148708, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-408-2361 |
| Fax | 5614082365 |
Authorized person
| Name | SCOTT MANGINI |
| Role | PHARMACY MANAGER |
| Phone | 5614082361 |
Taxonomy
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH27127 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2142715 |
| Name | Role | Address |
|---|---|---|
| MANGINI, SCOTT | Agent | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| MANGINI, SCOTT | Managing Member | 11496 PIERSON ROAD, UNIT C6 WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-03 | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-03 | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-03 | 11496 PIERSON ROAD, UNIT C6, WELLINGTON, FL 33414 | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2012-09-19 | ERGOGENIC LABS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-01-23 |
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-03-22 |
| LC Article of Correction/NC | 2012-09-19 |
| Florida Limited Liability | 2012-09-05 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
