| Entity Name: | HM BRANDON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jun 2014 (11 years ago) |
| Document Number: | L14000100616 |
| FEI/EIN Number | 47-1198438 |
| Mail Address: | 805 E Bloomingdale Ave, BRANDON, FL, 33511, US |
| Address: | 116 PARSONS PARK DRIVE, BRANDON, FL, 33511-6066, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871999516 | 2014-11-07 | 2022-03-31 | 805 E BLOOMINGDALE AVE STE 302, BRANDON, FL, 335118113, US | 116 PARSONS PARK DR, BRANDON, FL, 335116066, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 813-689-2273 |
| Fax | 8136624792 |
| Phone | +1 813-315-3774 |
Authorized person
| Name | HARSHADKUMAR PATEL |
| Role | OWNER |
| Phone | 8136624791 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH28695 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH28695 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 198989957 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL HARSHADKUMAR | Agent | 116 PARSONS PARK DRIVE, BRANDON, FL, 335116066 |
| Name | Role | Address |
|---|---|---|
| PATEL HARSHADKUMAR | Manager | 805 E Bloomingdale Ave, BRANDON, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000093825 | TOTAL CARE PHARMACY OF BRANDON | ACTIVE | 2014-09-15 | 2029-12-31 | No data | 116 PARSONS PARK DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 116 PARSONS PARK DRIVE, BRANDON, FL 33511-6066 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-09 | 116 PARSONS PARK DRIVE, BRANDON, FL 33511-6066 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-09 | 116 PARSONS PARK DRIVE, BRANDON, FL 33511-6066 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-16 |
| AMENDED ANNUAL REPORT | 2017-07-12 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
