| Entity Name: | SPRING PARK PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SPRING PARK 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. |
| 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: | 15 May 2017 (8 years ago) |
| Document Number: | L17000107880 |
| FEI/EIN Number |
82-1629387
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3851 Emerson Street, Unit 13, Jacksonville, Fl, 32207, UN |
| Mail Address: | 4446 Hendricks Avenue, #408, Jacksonville, Fl, 32207, UN |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902311046 | 2017-12-12 | 2018-07-16 | 4446 HENDRICKS AVE STE 408, JACKSONVILLE, FL, 322076369, US | 3851 EMERSON ST STE 13, JACKSONVILLE, FL, 32207, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 904-551-5094 |
| Fax | 9045271244 |
Authorized person
| Name | STACY CHAO |
| Role | PHARMACIST IN CHARGE |
| Phone | 9045515094 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH31080 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2175032 |
| Name | Role | Address |
|---|---|---|
| FARAH LAW | Agent | 6550 St. Augustine Road, Jacksonville, FL, 32217 |
| Chao Stacy PhrmD | Manager | 3851 Emerson Street, Jacksonville, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000039838 | SPRING PARK HOME MEDICAL EQUIPMENT | EXPIRED | 2019-03-27 | 2024-12-31 | - | 3851 EMERSON ST. STE13, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-28 | 3851 Emerson Street, Unit 13, Jacksonville, Florida 32207 UN | - |
| CHANGE OF MAILING ADDRESS | 2018-03-28 | 3851 Emerson Street, Unit 13, Jacksonville, Florida 32207 UN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-28 | 6550 St. Augustine Road, Suite 103, Jacksonville, FL 32217 | - |
| REGISTERED AGENT NAME CHANGED | 2018-02-05 | FARAH LAW | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-03-17 |
| AMENDED ANNUAL REPORT | 2019-05-05 |
| ANNUAL REPORT | 2019-02-07 |
| AMENDED ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2018-02-05 |
| Florida Limited Liability | 2017-05-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5765257309 | 2020-04-30 | 0491 | PPP | 3851 EMERSON ST. STE 13, JACKSONVILLE, FL, 32207 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 May 2025
Sources: Florida Department of State
