| Entity Name: | MI HAVANA PHARMACY & DISCOUNT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Apr 2003 (22 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P03000042694 |
| FEI/EIN Number | 680550099 |
| Address: | 1557SW 136PL, MIAMI, FL, 33184 |
| Mail Address: | 1557SW 136 PL, MIAMI, FL, 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356346522 | 2005-06-15 | 2020-08-22 | 200 NW 27TH AVE, MIAMI, FL, 331255116, US | 200 NW 27TH AVE, MIAMI, FL, 331255116, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-631-0004 |
| Fax | 3056311880 |
Authorized person
| Name | MR. JAVIER A FERNANDEZ |
| Role | OWNER |
| Phone | 3056310004 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PH19751 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP/NCPDP |
| Number | 1002649 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ JAVIER A | Agent | 1557SW 136PL, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ JAVIER A | President | 1557 SW 136 PL, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-13 | 1557SW 136PL, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-13 | 1557SW 136PL, MIAMI, FL 33184 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-13 | 1557SW 136PL, MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-13 |
| ANNUAL REPORT | 2004-04-27 |
| Domestic Profit | 2003-04-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
