| Entity Name: | MOUNT DORA RX PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L22000033399 |
| FEI/EIN Number | 88-1113709 |
| Mail Address: | 2812 W MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33607, US |
| Address: | 461 PLAZA DRIVE, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114625514 | 2023-02-16 | 2023-02-16 | 2812 W MLK BLVD, TAMPA, FL, 336076306, US | 461 PLAZA DR, EUSTIS, FL, 327266523, US | |||||||||||||||
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| Phone | +1 813-328-2970 |
| Phone | +1 352-729-6557 |
Authorized person
| Name | HARDDIKUMAR PATEL |
| Role | OWNER |
| Phone | 8133283970 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL HARDIKKUMAR | Agent | 2812 W MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| PATEL HARDIKKUMAR | Authorized Member | 6903 CONGRESS STREET, NEW PORT RICHEY, FL, 34653 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000024702 | MID FLORIDA PHARMACY | ACTIVE | 2022-03-01 | 2027-12-31 | No data | 6903 CONGRESS STREET, NEW PORT RICHEY, FL, 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-28 | 461 PLAZA DRIVE, EUSTIS, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-28 | 461 PLAZA DRIVE, EUSTIS, FL 32726 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-28 | PATEL, HARDIKKUMAR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-28 | 2812 W MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| LC Amendment | 2023-09-28 |
| ANNUAL REPORT | 2023-04-06 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
