| Entity Name: | G & C HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 May 2024 (8 months ago) |
| Document Number: | P03000012021 |
| FEI/EIN Number | 562330076 |
| Address: | 4007 S Nova Rd, Port Orange, FL, 32127, US |
| Mail Address: | 4007 S Nova Rd, Port Orange, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285706895 | 2006-11-15 | 2023-03-07 | 4036 D S NOVA RD, PORT ORANGE, FL, 32127, US | 4036 D S NOVA RD, PORT ORANGE, FL, 32127, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-304-8222 |
| Fax | 3863040050 |
Authorized person
| Name | DENA FERMAN |
| Role | THIRD PARTY PLAN COORDINATOR |
| Phone | 3149936000 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH19548 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 026365600 |
| State | FL |
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1097206 |
| Issuer | MEDICAID |
| Number | 026365601 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRANCIS FRANK | Agent | 112 EAST 1ST AVENUE, PIERSON, FL, 32180 |
| Name | Role | Address |
|---|---|---|
| FRANCIS FRANK | President | 112 EAST 1ST AVENUE, PIERSON, FL, 32180 |
| Name | Role | Address |
|---|---|---|
| FRANCIS HANNAH | Vice President | 650 N. PLYMOUTH AVE, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| FRANCIS ANTHONY | Secretary | 650 W. PLYMOUTH AVE, DELAND, FL, 32720 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000061397 | THE MEDICINE SHOPPE #1658 | EXPIRED | 2014-06-17 | 2019-12-31 | No data | 4036 S NOVA RD, STE D, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-05-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-08 | 4007 S Nova Rd, Port Orange, FL 32127 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-08 | 4007 S Nova Rd, Port Orange, FL 32127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-05 | 112 EAST 1ST AVENUE, PIERSON, FL 32180 | No data |
| AMENDMENT | 2018-10-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-05 | FRANCIS, FRANK | No data |
| REINSTATEMENT | 2013-12-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-05-24 |
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-04-22 |
| Reg. Agent Change | 2018-10-05 |
| Amendment | 2018-10-05 |
| ANNUAL REPORT | 2018-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
