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PALMYRA PHARMACY LLC - Florida Company Profile

Company Details

Entity Name: PALMYRA PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PALMYRA PHARMACY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Jul 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Sep 2021 (3 years ago)
Document Number: L16000127539
FEI/EIN Number 81-3134546

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13060 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US
Mail Address: 13060 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US
ZIP code: 34613
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497209159 2016-08-11 2021-12-20 13060 CORTEZ BLVD, BROOKSVILLE, FL, 346134854, US 13080 CORTEZ BLVD, BROOKSVILLE, FL, 346134854, US

Contacts

Phone +1 352-600-7572
Fax 3526007675

Authorized person

Name MOHAB HARAKA
Role MANAGER
Phone 3522133815

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 30300
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 019942700
State FL

Key Officers & Management

Name Role Address
Haraka Mohab Authorized Member 9307 MERLOT CIRCLE, Seffner, FL, 33584
HARAKA MOHAB Agent 9307 MERLOT CIRCLE, SEFFNER, FL, 33584

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-12 13060 CORTEZ BLVD, BROOKSVILLE, FL 34613 -
REGISTERED AGENT ADDRESS CHANGED 2023-05-12 9307 MERLOT CIRCLE, SEFFNER, FL 33584 -
CHANGE OF MAILING ADDRESS 2023-05-12 13060 CORTEZ BLVD, BROOKSVILLE, FL 34613 -
REINSTATEMENT 2021-09-29 - -
REGISTERED AGENT NAME CHANGED 2021-09-29 HARAKA, MOHAB -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
LC STMNT OF RA/RO CHG 2018-05-10 - -
LC DISSOCIATION MEM 2018-05-10 - -
LC AMENDMENT 2017-06-05 - -
LC AMENDMENT 2016-11-28 - -

Documents

Name Date
ANNUAL REPORT 2024-02-08
AMENDED ANNUAL REPORT 2023-05-12
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-03-22
REINSTATEMENT 2021-09-29
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-30
CORLCDSMEM 2018-05-10
CORLCRACHG 2018-05-10
ANNUAL REPORT 2018-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1577147305 2020-04-28 0491 PPP 13080 cortez blvd, brooksville, FL, 34613
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42200
Loan Approval Amount (current) 42200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address brooksville, HERNANDO, FL, 34613-2401
Project Congressional District FL-12
Number of Employees 5
NAICS code 446110
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 42656.68
Forgiveness Paid Date 2021-06-04
8117998408 2021-02-12 0491 PPS 13080 Cortez Blvd, Brooksville, FL, 34613-4854
Loan Status Date 2022-04-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46250
Loan Approval Amount (current) 46250
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Brooksville, HERNANDO, FL, 34613-4854
Project Congressional District FL-12
Number of Employees 5
NAICS code 446110
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 46749.25
Forgiveness Paid Date 2022-03-24

Date of last update: 03 Mar 2025

Sources: Florida Department of State