| Entity Name: | POLARIS PHARMACY SERVICES OF FT. LAUDERDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 May 2015 (10 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 31 Aug 2020 (4 years ago) |
| Document Number: | L15000094310 |
| FEI/EIN Number | 47-4359846 |
| Address: | 2900 NW 60th Street, Ft. Lauderdale, FL 33309 |
| Mail Address: | 2900 NW 60th Street, Ft. Lauderdale, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023482049 | 2015-11-16 | 2024-01-09 | 2900 NW 60TH ST, FORT LAUDERDALE, FL, 333091735, US | 2900 NW 60TH ST, FORT LAUDERDALE, FL, 333091735, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-919-1818 |
| Fax | 8664340334 |
Authorized person
| Name | REGINA HUNT |
| Role | NATIONAL DIRECTOR OF BILLING & REIM |
| Phone | 8005899747 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH29301 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2154988 |
| Name | Role | Address |
|---|---|---|
| Galbut, Abraham A | Agent | 4770 Biscayne Blvd, Ste 1400, Miami, FL 33137 |
| Name | Role | Address |
|---|---|---|
| Rombro, David | Manager | 2900 NW 60th St., Ft. Lauderdale, FL 33309 |
| Galbut, Daniel | Manager | 2900 NW 60th St., Ft. Lauderdale, FL 33309 |
| Sussman, Harold | Manager | The Kochin Group LLC, 551 Fifth Avenue 2500 New York, NY 10176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000061004 | POLARIS PHARMACY SERVICES | EXPIRED | 2016-06-21 | 2021-12-31 | No data | 2900 NW 60TH ST., FT. LAUDERDALE, FL, 33309 |
| G15000071534 | POLARIS RX | EXPIRED | 2015-07-09 | 2020-12-31 | No data | 90 BROAD STREET SUITE 402, NEW YORK, NY, 10004 |
| G15000071530 | RXPERTS OF HOLYWOOD | EXPIRED | 2015-07-09 | 2020-12-31 | No data | 90 BROAD STREET SUITE 402, NEW YORK, NY, 10004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2020-09-01 | POLARIS PHARMACY SERVICES OF FT. LAUDERDALE, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-09 | Galbut, Abraham A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-09 | 4770 Biscayne Blvd, Ste 1400, Miami, FL 33137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-24 | 2900 NW 60th Street, Ft. Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-24 | 2900 NW 60th Street, Ft. Lauderdale, FL 33309 | No data |
| LC INTEREST EXCHANGE | 2016-02-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-03-11 |
| LC Amendment and Name Change | 2020-08-31 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-25 |
| AMENDED ANNUAL REPORT | 2018-07-09 |
| AMENDED ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2018-01-17 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
