| Entity Name: | EIR HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Feb 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000029033 |
| FEI/EIN Number | 82-4250970 |
| Address: | 120 E MARKS ST, STE.250, ORLANDO, FL, 32803 |
| Mail Address: | 120 E MARKS ST, STE.250, ORLANDO, FL, 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144713850 | 2018-06-08 | 2018-06-08 | 120 E MARKS ST, STE 250, ORLANDO, FL, 328033857, US | 120 E MARKS ST, STE 250, ORLANDO, FL, 328033857, US | |||||||||||||||||||||||||||||||
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| Phone | +1 877-218-3454 |
| Fax | 8772186461 |
Authorized person
| Name | JOHN MANSOUR |
| Role | PHARMACIST |
| Phone | 8772183454 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31436 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2177876 |
| Name | Role | Address |
|---|---|---|
| ATTIA SHADY | Agent | 5971 Lake Ave, Sanford, FL, 32773 |
| Name | Role | Address |
|---|---|---|
| Attia Shady | Manager | 5971 Lake Ave, Sanford, FL, 32773 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000024428 | CENTRA RX | EXPIRED | 2018-02-16 | 2023-12-31 | No data | 120 E MARKS ST STE.250, ORLANDO, FL, 32803 |
| G18000024431 | CENTRACARE RX | EXPIRED | 2018-02-16 | 2023-12-31 | No data | 120 E MARKS ST STE.250, ORLANDO, FL, 32803 |
| G18000022005 | CENTARX | EXPIRED | 2018-02-11 | 2023-12-31 | No data | 120 E MARKS ST STE.250, ORLANDO, FL, 32803 |
| G18000022006 | CENTRACARERX | EXPIRED | 2018-02-11 | 2023-12-31 | No data | 120 E MARKS ST STE.250, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-24 | 5971 Lake Ave, Sanford, FL 32773 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
