| Entity Name: | BENZER FL 3 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Mar 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Oct 2018 (6 years ago) |
| Document Number: | L15000037806 |
| FEI/EIN Number | 47-3396426 |
| Address: | 901 W. INDIANTOWN ROAD, BAY 23, JUPITER, FL, 33458, US |
| Mail Address: | 901 W. INDIANTOWN ROAD, BAY 23, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164805016 | 2015-07-09 | 2020-03-02 | 901 W INDIATOWN ROAD, BAY 23, JUPITER, FL, 33458, US | 901 W INDIATOWN ROAD, BAY 23, JUPITER, FL, 33458, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 561-529-2851 |
| Fax | 5615292874 |
Authorized person
| Name | MR. TEJAS PATEL |
| Role | CEO |
| Phone | 5615292851 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29220 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102220000 |
| State | FL |
| Issuer | PK |
| Number | 2152983 |
| Issuer | MEDICAID |
| Number | 015846400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NP ACCOUNTING SOLUTIONS | Agent | 24132 DENALI CT, LUTZ, FL, 33559 |
| Name | Role | Address |
|---|---|---|
| PATEL TEJAS | Managing Member | 901 W. INDIANTOWN ROAD, JUPITER, FL, 33458 |
| KHAN MUSHARAF | Managing Member | 901 W. INDIANTOWN ROAD, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000012579 | ELITE PHARMACY | ACTIVE | 2020-01-27 | 2025-12-31 | No data | 123 CASTLE ISLAND PLACE, JUPITER, FL, 33458 |
| G19000019259 | BENZER PHARMACY | EXPIRED | 2019-02-07 | 2024-12-31 | No data | 123 CASTLE ISLAND PLACE, JUPITER, FL, 33458 |
| G15000125222 | BENZER PHARMACY 142 | EXPIRED | 2015-12-11 | 2020-12-31 | No data | 2812 WEST MLK JR. BLVD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-28 | NP ACCOUNTING SOLUTIONS | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 901 W. INDIANTOWN ROAD, BAY 23, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-04 | 901 W. INDIANTOWN ROAD, BAY 23, JUPITER, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-04 | 24132 DENALI CT, LUTZ, FL 33559 | No data |
| LC AMENDMENT | 2018-10-08 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000808459 | TERMINATED | 1000000851679 | HILLSBOROU | 2019-12-09 | 2039-12-11 | $ 3,144.75 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-02-04 |
| LC Amendment | 2018-10-08 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
