| Entity Name: | GUARDIAN PHARMACY OF DAYTONA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Nov 2006 (18 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | M06000006323 |
| FEI/EIN Number | 20-5712488 |
| Mail Address: | 300 Galleria Parkway SE, Suite 800, ATLANTA, GA 30339 |
| Address: | 10 AVIATOR WAY, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053528448 | 2007-05-17 | 2014-09-18 | GUARDIAN PHARMACY OF DAYTONA DEPT 2360, P.O. BOX 11407, BIRMINGHAM, AL, 352462360, US | 10 AVIATOR WAY, ORMOND BEACH, FL, 321742983, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 404-810-0089 |
| Fax | 4048100094 |
| Phone | +1 386-615-1925 |
| Fax | 3866151996 |
Authorized person
| Name | BRIAN ROSATI |
| Role | PRESIDENT |
| Phone | 3866151925 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH22645 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032055200 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BURKE, FRED P | Manager | 300 Galleria Parkway SE, Suite 800 ATLANTA, GA 30339 |
| MORRIS, DAVID K | Manager | 300 Galleria Parkway SE, Suite 800 ATLANTA, GA 30339 |
| FORBES, G. KENDALL | Manager | 300 Galleria Parkway SE, Suite 800 ATLANTA, GA 30339 |
| Downey, Chad | Manager | 300 Galleria Parkway SE, Suite 800 ATLANTA, GA 30339 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 10 AVIATOR WAY, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| LC STMNT OF RA/RO CHG | 2018-01-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-23 | REGISTERED AGENT SOLUTIONS, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 10 AVIATOR WAY, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-30 |
| CORLCRACHG | 2018-01-23 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
