| Entity Name: | SILVER LAKE PHARMACY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SILVER LAKE 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: | 31 Oct 2013 (12 years ago) |
| Date of dissolution: | 18 Jan 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jan 2017 (8 years ago) |
| Document Number: | L13000153500 |
| FEI/EIN Number |
46-4053289
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 32729 RADIO ROAD., LEESBURG, FL, 34788 |
| Mail Address: | 2705 COTTON CT., EUSTIS, FL, 32726 |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376965566 | 2014-01-08 | 2014-06-18 | 2705 COTTON CT, EUSTIS, FL, 327262078, US | 32729 RADIO RD, LEESBURG, FL, 347883900, US | |||||||||||||||||||||||
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| Phone | +1 352-217-0487 |
Authorized person
| Name | KAMLESH PATEL |
| Role | PHARMACY MANAGER |
| Phone | 3522170487 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH27348 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010760900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL KAMLESH | Manager | 2705 COTTON CT., EUSTIS, FL, 32726 |
| PATEL KAMLESH | Agent | 2705 COTTON CT., EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-01-18 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-02-21 |
| Florida Limited Liability | 2013-10-31 |
Date of last update: 01 May 2025
Sources: Florida Department of State
