| Entity Name: | MPAM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2015 (9 years ago) |
| Document Number: | L15000206147 |
| FEI/EIN Number | 810786016 |
| Address: | 696 east altamonte drive, SUITE #1060, altamonte springs, FL, 32701, US |
| Mail Address: | 696 e altamonte drive, suite#1060, altamonte springs, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538520234 | 2016-03-09 | 2024-10-08 | 696 EAST ALTAMONTE DR, SUITE 1060, APOPKA, FL, 327036866, US | 696 E ALTAMONTE DR, SUITE#1060, ALTAMONTE SPRINGS, FL, 327014831, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-901-7777 |
| Fax | 4079017777 |
Authorized person
| Name | MR. MAKRAM KADOUS |
| Role | MANAGER |
| Phone | 4076172000 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH29943 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018525500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KADOUS MAKRAM K | Agent | 696 east altamonte drive, altamonte springs, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| KADOUS MAKRAM | Manager | 696 east altamonte drive, altamonte springs, FL, 32701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000165932 | CARE AND SAVE PHARMACY | ACTIVE | 2020-12-30 | 2025-12-31 | No data | 696 EAST ALTAMONTE DRIVE, ALTAMONTE SPRINGS, FL, 32701 |
| G16000134902 | CARE AND SAFE PHARMACY | EXPIRED | 2016-12-15 | 2021-12-31 | No data | 1401 HOLLY GLEN RUN, APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 696 east altamonte drive, SUITE #1060, altamonte springs, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 696 east altamonte drive, SUITE #1060, altamonte springs, FL 32701 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-24 | 696 east altamonte drive, SUITE #1060, altamonte springs, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-31 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-05-24 |
| Florida Limited Liability | 2015-12-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
