| Entity Name: | EL JARDIN PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2003 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Nov 2023 (a year ago) |
| Document Number: | P03000094427 |
| FEI/EIN Number | 161682079 |
| Address: | 8361 PINES BLVD, PEMBROKE PINES, FL, 33025, US |
| Mail Address: | 8361 PINES BLVD, PEMBROKE PINES, FL, 33025, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255358990 | 2006-07-17 | 2024-10-31 | 8361 PINES BLVD, PEMBROKE PINES, FL, 330246607, US | 8361 PINES BLVD, PEMBROKE PINES, FL, 330246607, US | |||||||||||||||||||||||||
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| Phone | +1 954-248-6135 |
| Fax | 9545892635 |
Authorized person
| Name | TOSIN JULIUS |
| Role | OWNER |
| Phone | 8134100029 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH19575 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121764400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JULIUS TOSIN | Agent | 8361 PINES BLVD, PEMBROKE PINES, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| JULIUS TOSIN | President | 7649 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000071676 | COMPASSION WELLNESS CENTER | ACTIVE | 2024-06-09 | 2029-12-31 | No data | 8363 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| G10000025973 | EL JARDIN PHARMACY #2 | EXPIRED | 2010-03-22 | 2015-12-31 | No data | 3112 W 76 ST., HIALEAH, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-13 | 8361 PINES BLVD, PEMBROKE PINES, FL 33025 | No data |
| AMENDMENT | 2023-11-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-13 | 8361 PINES BLVD, PEMBROKE PINES, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-13 | 8361 PINES BLVD, PEMBROKE PINES, FL 33025 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-09 | JULIUS, TOSIN | No data |
| AMENDMENT | 2023-10-09 | No data | No data |
| AMENDMENT | 2023-10-06 | No data | No data |
| AMENDMENT | 2011-03-02 | No data | No data |
| AMENDMENT | 2010-04-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| Amendment | 2023-11-13 |
| Amendment | 2023-10-09 |
| Amendment | 2023-10-06 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
