| Entity Name: | BENZER FL 10 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Jul 2015 (10 years ago) |
| Date of dissolution: | 19 Aug 2024 (5 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Aug 2024 (5 months ago) |
| Document Number: | L15000115378 |
| FEI/EIN Number | 47-4525161 |
| Mail Address: | 5908 Breckenridge Pkwy, TAMPA, FL 33610 |
| Address: | 11048 BAYMEADOWS ROAD, #5, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316315393 | 2015-09-09 | 2018-11-19 | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610, US | 11048 BAYMEADOWS ROAD, SUITE 5, JACKSONVILLE, FL, 32256, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-304-2221 |
| Fax | 8882398423 |
| Phone | +1 813-968-9100 |
| Fax | 8139689200 |
Authorized person
| Name | ALPESH PATEL |
| Role | OWNER |
| Phone | 8133042221 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29344 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015867500 |
| State | FL |
| Issuer | PK |
| Number | 2153868 |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH | Agent | 5908 Breckenridge Pkwy, TAMPA, FL 33610 |
| Name | Role |
|---|---|
| BENZER PHARMACY HOLDING LLC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH | Manager | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| PATEL, MANISH | Manager | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000125242 | BENZER PHARMACY 150 | EXPIRED | 2015-12-11 | 2020-12-31 | No data | 125 W COUNTRY CLUB DR, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2018-11-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-13 | 11048 BAYMEADOWS ROAD, #5, JACKSONVILLE, FL 32256 | No data |
| LC AMENDMENT | 2018-10-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 11048 BAYMEADOWS ROAD, #5, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 5908 Breckenridge Pkwy, TAMPA, FL 33610 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000065114 | TERMINATED | 16-2020-CC-009974 | COUNTY COURT DUVAL COUNTY | 2021-01-20 | 2026-02-11 | $3,285.00 | BAYMEADOWS 9A, LLC, 625 STATE ROAD 100, SUITE 903, PALATKA, FLORIDA 32177 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-19 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-02-20 |
| LC Amendment | 2018-11-13 |
| LC Amendment | 2018-10-08 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-29 |
| Florida Limited Liability | 2015-07-06 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
