Entity Name: | CLEVELAND RX LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 24 Jan 2022 (3 years ago) |
Document Number: | L22000043705 |
FEI/EIN Number | 88-0526728 |
Address: | 2835 CLEVELAND AVE, FORT MYERS, FL, 33901, US |
Mail Address: | 2835 CLEVELAND AVE, FORT MYERS, FL, 33901, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306574405 | 2022-08-08 | 2022-11-14 | 2835 CLEVELAND AVE, FORT MYERS, FL, 339016002, US | 2835 CLEVELAND AVE, FORT MYERS, FL, 339016002, US | |||||||||||||
|
Phone | +1 609-373-9929 |
Authorized person
Name | MR. BASSEM MINA |
Role | PHARMACY MANAGER |
Phone | 6093739929 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MINA BASSEM | Agent | 10110 VILLAGIO PALMS WAY, ESTER, FL, 33928 |
Name | Role | Address |
---|---|---|
MINA BASSEM M | Authorized Member | 10110 VILLAGIO PALMS WAY, ESTER, FL, 33928 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-02-06 | 2835 CLEVELAND AVE, FORT MYERS, FL 33901 | No data |
CHANGE OF MAILING ADDRESS | 2023-02-06 | 2835 CLEVELAND AVE, FORT MYERS, FL 33901 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 10110 VILLAGIO PALMS WAY, UNIT 207, ESTER, FL 33928 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-08 |
ANNUAL REPORT | 2023-02-06 |
Florida Limited Liability | 2022-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State