| Entity Name: | HEAL N HALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Feb 2017 (8 years ago) |
| Document Number: | L14000072560 |
| FEI/EIN Number | 46-5579311 |
| Address: | 3090 ALOMA AVENUE, SUITE 140, WINTER PARK, FL, 32792, US |
| Mail Address: | 3090 ALOMA AVENUE, SUITE 140, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154814887 | 2018-06-07 | 2018-06-07 | 3090 ALOMA AVE STE 140, WINTER PARK, FL, 327923743, US | 3090 ALOMA AVE STE 140, WINTER PARK, FL, 327923743, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-636-4670 |
| Fax | 4076364671 |
Authorized person
| Name | SHRUTI PATEL |
| Role | RPH |
| Phone | 4076364670 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH28548 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2177832 |
| Issuer | MEDICAID |
| Number | 014285600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL SHRUTI | Agent | 3090 ALOMA AVENUE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| PATEL SHRUTI | Manager | 2202 LAKE SYLVAN OAKS CT, SANFORD, FL, 32771 |
| PATEL MANISH | Manager | 408 BLUE BIRCH COURT, SANFORD, FL, 32771 |
| PATEL NISHANT | Manager | 2202 LAKE SYLVAN OAKS CT, SANFORD, FL, 32271 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000050433 | WINTER PARK PHARMACY | EXPIRED | 2014-05-23 | 2019-12-31 | No data | 3090 ALOMA AVENUE, STE 140, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2017-02-21 | No data | No data |
| LC STMNT OF RA/RO CHG | 2016-12-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-16 | PATEL, SHRUTI | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-16 | 3090 ALOMA AVENUE, SUITE 140, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-02-25 |
| LC Amendment | 2017-02-21 |
| ANNUAL REPORT | 2017-02-05 |
| CORLCRACHG | 2016-12-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
