| Entity Name: | BSN HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Oct 2019 (5 years ago) |
| Document Number: | L19000255701 |
| FEI/EIN Number | 84-3542551 |
| Address: | 45665 HIGHWAY 27 NORTH, DAVENPORT, FL, 33897, US |
| Mail Address: | 45665 HIGHWAY 27 NORTH, DAVENPORT, FL, 33897, US |
| ZIP code: | 33897 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760017487 | 2020-03-04 | 2020-03-04 | 45665 HIGHWAY 27, DAVENPORT, FL, 338974546, US | 45665 HIGHWAY 27, DAVENPORT, FL, 338974546, US | |||||||||||||||||||||||||||||
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| Phone | +1 863-866-9660 |
| Fax | 8633531190 |
Authorized person
| Name | NARSI HATAM POUR |
| Role | VICE PRESIDENT |
| Phone | 8638669660 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BOARD OF PHARMACY LICENSE |
| Number | PH32608 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LABIB SAMUEL | Agent | 1437 Selbydon Way, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| LABIB SAMUEL | President | 1437 Selbydon Way, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| HATAM POUR NARSI | Manager | 2161 LAKE SIDE AVE, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| VO ANH | Co | 45665 HIGHWAY 27 NORTH, DAVENPORT, FL, 33897 |
| Name | Role | Address |
|---|---|---|
| VO ANH | Treasurer | 45665 HIGHWAY 27 NORTH, DAVENPORT, FL, 33897 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000031646 | FAMILY CARE CLINIC PHARMACY | ACTIVE | 2020-03-12 | 2025-12-31 | No data | 45665 HIGHWAY 27, DAVENPORT, FL, 33897 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-19 | 1437 Selbydon Way, Winter Garden, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-02-26 |
| AMENDED ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2023-01-19 |
| AMENDED ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-12 |
| Florida Limited Liability | 2019-10-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
