| Entity Name: | CENTANNI ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jan 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P00000009035 |
| FEI/EIN Number | 593620837 |
| Address: | 674 US HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435 |
| Mail Address: | 674 US HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435 |
| ZIP code: | 32435 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649302266 | 2007-03-09 | 2023-03-07 | 674 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324353349, US | 674 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324353349, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-951-0859 |
| Fax | 8509511097 |
Authorized person
| Name | MR. ROSS CENTANNI |
| Role | PHARMACIST |
| Phone | 8509510859 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH0015912 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH0015912 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP |
| Number | 1082976 |
| State | FL |
| Issuer | MEDICAID |
| Number | 106361800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 106361801 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CENTANNI ROSS A | Agent | 728 OTTER POND RD., WESTVILLE, FL, 32464 |
| Name | Role | Address |
|---|---|---|
| CENTANNI ROSS A | Director | 728 OTTER POND RD., WESTVILLE, FL, 32464 |
| CENTANNI BARBARA A | Director | 728 OTTER POND RD.,, WESTVILLE, FL, 32464 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-01 | 728 OTTER POND RD., WESTVILLE, FL 32464 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-31 | 674 US HWY 331 SOUTH, DEFUNIAK SPRINGS, FL 32435 | No data |
| CHANGE OF MAILING ADDRESS | 2003-03-31 | 674 US HWY 331 SOUTH, DEFUNIAK SPRINGS, FL 32435 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000581113 | LAPSED | 09-10656 | CHESTER CNTY(PA) CRT CMMN PLEA | 2010-03-08 | 2015-05-13 | $332,201.06 | AMERISOURCEBERGEN DRUG CORPORATION, 1300 MORRIS DR, VALLEY FORGE, PA 19087 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-07-02 |
| ANNUAL REPORT | 2008-05-02 |
| ANNUAL REPORT | 2007-07-09 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-04-26 |
| ANNUAL REPORT | 2003-03-31 |
| ANNUAL REPORT | 2002-05-20 |
| ANNUAL REPORT | 2001-05-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
