| Entity Name: | GULF COAST MEDICAL PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Aug 2002 (22 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P02000094669 |
| FEI/EIN Number | 562289411 |
| Address: | 8359 Beacon Blvd, 213, FT MYERS, FL, 33907, US |
| Mail Address: | 8359 Beacon Blvd, 213, FT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568535870 | 2006-11-16 | 2009-12-09 | 13685 DOCTORS WAY, SUITE #150, FT.MYERS, FL, 33912, US | 13685 DOCTORS WAY, SUITE #150, FORT MYERS, FL, 339124336, US | |||||||||||||||||||
|
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| Phone | +1 239-278-3969 |
| Fax | 2392780336 |
Authorized person
| Name | MR. JEFFREY R. GREEN |
| Role | OWNER |
| Phone | 2392783969 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | PH20076 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WINESETT ROBERT W | Agent | 2248 FIRST ST., FT. MYERS, FL, 33902 |
| Name | Role | Address |
|---|---|---|
| GREEN JEFFREY R | Director | 12900 EAGLE RD, CAPE CORAL, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| GREEN JEFFREY R | President | 12900 EAGLE RD, CAPE CORAL, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| GREEN JEFFREY R | Secretary | 12900 EAGLE RD, CAPE CORAL, FL, 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-04 | 8359 Beacon Blvd, 213, FT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-04 | 8359 Beacon Blvd, 213, FT MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-24 | 2248 FIRST ST., FT. MYERS, FL 33902 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-05-02 | WINESETT, ROBERT WC/O | No data |
| CANCEL ADM DISS/REV | 2004-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-04 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-08-31 |
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-03-23 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-05-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
