| Entity Name: | GAYATRIKRUPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Nov 2016 (8 years ago) |
| Document Number: | L15000147331 |
| FEI/EIN Number | 47-4967784 |
| Address: | 7217 US HWY 27 N, SEBRING, FL, 33870, US |
| Mail Address: | 7217 US HWY 27 N, SEBRING, FL, 33870, US |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255706024 | 2015-12-04 | 2016-05-02 | 7217 US HIGHWAY 27 N, SEBRING, FL, 338701051, US | 7217 US HIGHWAY 27 N, SEBRING, FL, 338701051, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 561-427-4374 |
Authorized person
| Name | DHAVALKUMAR PATEL |
| Role | MANAGER |
| Phone | 5614274374 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29573 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016659100 |
| State | FL |
| Issuer | PK |
| Number | 2155798 |
| Name | Role | Address |
|---|---|---|
| PATEL DHAVALKUMAR S | Agent | 7217 US HWY 27 N, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| PATEL DHAVALKUMAR S | Manager | 7217 US HWY 27 N, SEBRING, FL, 33870 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000094652 | HIGHLANDS PHARMACY | EXPIRED | 2015-09-15 | 2020-12-31 | No data | 2444 N. ORANGEWOOD ST, AVON PARK, FL, 33825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-12 | 7217 US HWY 27 N, SEBRING, FL 33870 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-12 | 7217 US HWY 27 N, SEBRING, FL 33870 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-12 | 7217 US HWY 27 N, SEBRING, FL 33870 | No data |
| REINSTATEMENT | 2016-11-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-11 | PATEL, DHAVALKUMAR S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-02 |
| REINSTATEMENT | 2016-11-11 |
| Florida Limited Liability | 2015-08-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
