| Entity Name: | AVA KEROLOS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AVA KEROLOS, 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: | 04 Apr 2013 (12 years ago) |
| Date of dissolution: | 19 Aug 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Aug 2022 (3 years ago) |
| Document Number: | L13000049693 |
| FEI/EIN Number |
46-2378530
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1739 MAPLE LEAF BLVD, OLDSMAR, FL, 34677, US |
| Mail Address: | 1739 MAPLE LEAF BLVD, OLDSMAR, FL, 34677, US |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659764959 | 2015-03-10 | 2021-12-28 | 33338 U.S. HWY 19 N., PALM HARBOR, FL, 34684, US | 33338 U.S. HWY 19 N., PALM HARBOR, FL, 34684, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-785-2650 |
| Fax | 7277852827 |
| Phone | +1 727-785-2640 |
| Fax | 7277840701 |
Authorized person
| Name | EMAN ROUFAIL |
| Role | OWNER |
| Phone | 6155548105 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH28867 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014789900 |
| State | FL |
| Issuer | PK |
| Number | 2150855 |
| Name | Role | Address |
|---|---|---|
| ROUFAIL EMAN | Managing Member | 1739 MAPLE LEAF BLVD, OLDSMAR, FL, 34677 |
| ROUFAIL EMAN | Agent | 1739 MAPLE LEAF BLVD, OLDSMAR, FL, 34677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000035033 | GOOD SAMARITAN PHARMACY | ACTIVE | 2016-04-06 | 2026-12-31 | - | 1739 MAPLE LEAF BLVD, OLDSMAR, FL, 34677 |
| G15000034180 | GOOD SAMARITAN PHARMACY | ACTIVE | 2015-04-03 | 2025-12-31 | - | 1739 MAPLELEAF BLVD, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-01-23 | ROUFAIL, EMAN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-23 | 1739 MAPLE LEAF BLVD, OLDSMAR, FL 34677 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-01-23 |
| AMENDED ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2016-04-14 |
| AMENDED ANNUAL REPORT | 2015-06-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6040407706 | 2020-05-01 | 0455 | PPP | 33130 US HIGHWAY 19 N, PALM HARBOR, FL, 34684-3127 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5735858307 | 2021-01-25 | 0455 | PPS | 33130 US Highway 19 N, Palm Harbor, FL, 34684-3127 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
