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PHARMACY SPECIALISTS OF CENTRAL FLORIDA, LLC - Florida Company Profile

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Company Details

Entity Name: PHARMACY SPECIALISTS OF CENTRAL FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Feb 2021 (4 years ago)
Last Event: CONVERSION
Event Date Filed: 26 Feb 2021 (4 years ago)
Document Number: L21000134172
FEI/EIN Number 593497762
Address: 9777 Pyramid Ct, Englewood, CO, 80112, US
Mail Address: 9777 Pyramid Ct, Englewood, CO, 80112, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Revelation Pharma, LLC Manager 9777 Pyramid Ct, Englewood, CO, 80112
- Agent -

National Provider Identifier

NPI Number:
1083824122

Authorized Person:

Name:
JUAN LOPEZ
Role:
PHARMACY MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
4072607044

Form 5500 Series

Employer Identification Number (EIN):
593497762
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000050043 PHARMACY SPECIALIST ACTIVE 2024-04-15 2029-12-31 - 393 MAITLAND AVENUE, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-05 9777 Pyramid Ct, Suite 230, Englewood, CO 80112 -
CHANGE OF MAILING ADDRESS 2025-02-05 9777 Pyramid Ct, Suite 230, Englewood, CO 80112 -
CHANGE OF PRINCIPAL ADDRESS 2023-04-27 9777 Pyramid Ct, Suite 230, Englewood, CO 80112 -
CHANGE OF MAILING ADDRESS 2023-04-27 9777 Pyramid Ct, Suite 230, Englewood, CO 80112 -
REGISTERED AGENT NAME CHANGED 2022-11-04 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-11-04 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
CONVERSION 2021-02-26 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P98000015852. CONVERSION NUMBER 500000211585

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-04-27
Reg. Agent Change 2022-11-04
ANNUAL REPORT 2022-07-22
Florida Limited Liability 2021-02-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State