| Entity Name: | SAINT MARY MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2020 (5 years ago) |
| Document Number: | L20000125639 |
| FEI/EIN Number | 851078270 |
| Address: | 4651 NE BABCOCK STREET, 5A, PALM BAY, FL, 32905, US |
| Mail Address: | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 32962, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952994204 | 2021-02-18 | 2021-07-30 | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 329623411, US | 4651 BABCOCK ST NE STE 5A, PALM BAY, FL, 329052808, US | |||||||||||||
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| Phone | +1 347-309-1829 |
Authorized person
| Name | MARINA BAKHET |
| Role | MANGER |
| Phone | 3473091829 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAKHET MARINA | Agent | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 32962 |
| Name | Role | Address |
|---|---|---|
| BAKHET MARINA | Mang | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 32962 |
| Salama Ramy | Mang | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 32962 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000093316 | PALM BAY PHARMACY | ACTIVE | 2021-07-16 | 2026-12-31 | No data | 1332 LEXINGTON SQ SW, VERO BEACH, FL, 32962 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-02-10 |
| Florida Limited Liability | 2020-05-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
