| Entity Name: | PATIENT SOURCE CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Aug 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L14000122366 |
| FEI/EIN Number | 47-1526977 |
| Address: | 19305 Sandy Springs Cir, Lutz, FL, 33558, US |
| Mail Address: | 19305 Sandy Springs Cir, Lutz, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336521426 | 2015-06-24 | 2016-10-19 | 8755 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL, 336376729, US | 8755 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL, 336376729, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 813-609-6914 |
Authorized person
| Name | YOLANDE NZIGA |
| Role | MANAGER |
| Phone | 8136096914 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH28776 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2154063 |
| Issuer | MEDICAID |
| Number | 015963000 |
| State | FL |
| Name | Role |
|---|---|
| ELITE ACCOUNTING & CONSULTING SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| NZIGA YOLANDE L | Manager | 19305 Sandy Springs Cir, Lutz, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000101089 | NEARBY RX | EXPIRED | 2014-10-04 | 2024-12-31 | No data | 8755 TEMPLE TERRACE HWY, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 19305 Sandy Springs Cir, Lutz, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 19305 Sandy Springs Cir, Lutz, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-05-31 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-30 |
| Florida Limited Liability | 2014-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
