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LAKELAND COMMUNITY PHARMACY LLC - Florida Company Profile

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Company Details

Entity Name: LAKELAND COMMUNITY PHARMACY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jul 2024 (a year ago)
Document Number: L24000325223
Address: 4040 SUNSET LAKE DRIVE, LAKELAND, FL, 33810, US
Mail Address: 5214 MIRROR LAKES BLVD, BOYNTON BEACH, FL, 33472, UN
ZIP code: 33810
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
MOURAD MEKHAEL Manager 2706 MINGO DR, LAND O LAKES, FL, 34638
DHADUK BHAVIN R Authorized Member 7384 POULICNY LN., MELBOURNE, FL, 32940
SHAH ANKUR A Authorized Member 2808 WYNDHAM WAY, MELBOURNE, FL, 32940
PATEL RONAKKUMAR Authorized Member 1827 VIA LAGO DR., LAKELAND, FL, 33810
DHADUK SAMIR R Authorized Member 4040 SUNSET LAKE DR., LAKELAND, FL, 33810

National Provider Identifier

NPI Number:
1326839325
Certification Date:
2025-05-16

Authorized Person:

Name:
SAMIR DHADUK
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8669914552

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000121684 ALL IN ONE PHARMACY ACTIVE 2024-09-30 2029-12-31 - 4040 SUNSET LAKE DR, LAKELAND, FL, 33810

Documents

Name Date
Florida Limited Liability 2024-07-22

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Date of last update: 01 Jul 2025

Sources: Florida Department of State