| Entity Name: | MED AND Z INVESTMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Feb 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Sep 2019 (5 years ago) |
| Document Number: | L16000039600 |
| FEI/EIN Number | 81-1703655 |
| Address: | 8207 N FLORIDA AVE, TAMPA, FL, 33604, US |
| Mail Address: | 8207 N FLORIDA AVE, TAMPA, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871097683 | 2018-03-19 | 2018-03-19 | PO BOX 48545, TAMPA, FL, 336460122, US | 8207 N FLORIDA AVE, TAMPA, FL, 336043003, US | |||||||||||||||||||||||||||
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| Phone | +1 813-410-8946 |
| Fax | 8134335128 |
| Phone | +1 813-549-5599 |
Authorized person
| Name | MOHAMED DEMBELE |
| Role | PHARMACY MANAGER |
| Phone | 8135495599 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH30816 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018925900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CARLA | Agent | 8207 N FLORIDA AVE, TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CARLA | Manager | 8207 N FLORIDA AVE, TAMPA, FL, 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 8207 N FLORIDA AVE, TAMPA, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-19 | 8207 N FLORIDA AVE, TAMPA, FL 33604 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-19 | RODRIGUEZ, CARLA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-19 | 8207 N FLORIDA AVE, TAMPA, FL 33604 | No data |
| LC AMENDMENT | 2019-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-19 |
| LC Amendment | 2019-09-24 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-13 |
| Florida Limited Liability | 2016-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
