| Entity Name: | FORT MYERS BEACH PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FORT MYERS BEACH PHARMACY, 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: | 30 Oct 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L12000137565 |
| FEI/EIN Number |
46-1289495
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1003 8th Avenue West, Bradenton, FL, 34205, US |
| Mail Address: | 1003 8th Avenue West, Bradenton, FL, 34205, US |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841537826 | 2013-01-10 | 2016-05-02 | 1003 8TH AVE W, BRADENTON, FL, 342057709, US | 1003 8TH AVE W, BRADENTON, FL, 342057709, US | |||||||||||||||||||||||
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| Phone | +1 941-794-2444 |
| Fax | 9417942446 |
Authorized person
| Name | ROBIN PADGETT |
| Role | PRESCRIPTION DEPARTMENT MANAGER |
| Phone | 9417942444 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26595 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5713006 |
| Name | Role | Address |
|---|---|---|
| Long Brad | Authorized Member | 1003 8th Avenue West, Bradenton, FL, 34205 |
| DeStefano Frank | Authorized Member | 1003 8th Avenue West, Bradenton, FL, 34205 |
| Magidson Michael | Agent | 802 11TH ST. WEST, BRADENTON, FL, 34205 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000115486 | SOOTHE PERSONALIZED MEDICINE RX | EXPIRED | 2015-11-13 | 2020-12-31 | - | 1003 8TH AVENUE WEST, BRADENTON, FL, 34205 |
| G15000108237 | NCC | EXPIRED | 2015-10-23 | 2020-12-31 | - | 1003 8TH AVENUE WEST, BRADENTON, FL, 34205 |
| G15000108244 | SOOTHE PERSONALIZED HEALTH & NUTRITION | EXPIRED | 2015-10-23 | 2020-12-31 | - | 1003 8TH AVENUE WEST, BRADENTON, FL, 34205 |
| G15000108245 | SOOTHE PHARMACY | EXPIRED | 2015-10-23 | 2020-12-31 | - | 1003 8TH AVENUE WEST, BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-16 | 1003 8th Avenue West, Bradenton, FL 34205 | - |
| CHANGE OF MAILING ADDRESS | 2016-02-16 | 1003 8th Avenue West, Bradenton, FL 34205 | - |
| REGISTERED AGENT NAME CHANGED | 2016-02-16 | Magidson, Michael | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-16 | 802 11TH ST. WEST, BRADENTON, FL 34205 | - |
| LC AMENDMENT | 2015-04-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-16 |
| LC Amendment | 2015-04-01 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-01-09 |
| Florida Limited Liability | 2012-10-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
