| Entity Name: | PRESCRIPTION PLACE OF DEFUNIAK SPRINGS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PRESCRIPTION PLACE OF DEFUNIAK SPRINGS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Sep 2005 (20 years ago) |
| Document Number: | P05000134300 |
| FEI/EIN Number |
203551317
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| Mail Address: | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| ZIP code: | 32433 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457370520 | 2006-07-19 | 2015-12-10 | 1337 US HIGHWAY 90 W, DEFUNIAK SPRINGS, FL, 324331470, US | 1337 US HIGHWAY 90 W, DEFUNIAK SPRINGS, FL, 324331470, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-892-6898 |
| Fax | 8508926899 |
Authorized person
| Name | SHANE ABBOTT |
| Role | PHARMACIST |
| Phone | 8508926898 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH21644 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031129400 |
| State | FL |
| Issuer | PK |
| Number | 2005427 |
| Name | Role | Address |
|---|---|---|
| ABBOTT SHANE | President | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| ABBOTT SHANE | Director | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| COLE CARI | Secretary | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| COLE CARI | Director | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL, 32433 |
| WEEMS LORI KP.A. | Agent | 5810-B HIGHWAY 189 NORTH, BAKER, FL, 32531 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-09-02 | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL 32433 | - |
| CHANGE OF MAILING ADDRESS | 2014-09-02 | 1337 US HWY 90 WEST, DEFUNIAK SPRINGS, FL 32433 | - |
| REGISTERED AGENT NAME CHANGED | 2014-09-02 | WEEMS, LORI K, P.A. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-09-02 | 5810-B HIGHWAY 189 NORTH, BAKER, FL 32531 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6664557104 | 2020-04-14 | 0491 | PPP | 1337 US HIGHWAY 90, DEFUNIAK SPRINGS, FL, 32433-1470 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
