| Entity Name: | CENTRO MEDICO FAMILIAR BUEN PASTOR PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Jul 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L13000100950 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4440 SHERIDAN ST, STE C, HOLLYWOOD, FL 33021 |
| Mail Address: | 4440 SHERIDAN ST, STE C, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528468956 | 2014-09-04 | 2014-09-04 | 4440 SHERIDAN ST STE C, HOLLYWOOD, FL, 330213535, US | 4440 SHERIDAN ST STE C, HOLLYWOOD, FL, 330213535, US | |||||||||||||||||||
|
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| Phone | +1 954-882-0191 |
| Fax | 7542103962 |
Authorized person
| Name | DR. GABRIEL G FLOREZ |
| Role | PRES |
| Phone | 7862181160 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN 285 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLOREZ, GABRIEL | Agent | 4440 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| FLOREZ, GABRIEL, Dr. | Manager | 4440 SHERIDAN ST, STE C HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-02-05 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-01-10 |
| Florida Limited Liability | 2013-07-16 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
