| Entity Name: | ORLANDO HEALTHCARE SYSTEM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Dec 2005 (19 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: | P05000162707 |
| Address: | 750 S ORANGE BLOSSOM TRAIL, STE 207, ORLANDO, FL, 32805 |
| Mail Address: | 750 S ORANGE BLOSSOM TRAIL, STE 207, ORLANDO, FL, 32805 |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043416944 | 2007-06-26 | 2020-08-22 | 9400 TURKEY LAKE RD, ORLANDO, FL, 328198001, US | 9400 TURKEY LAKE RD, ORLANDO, FL, 328198001, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-842-7230 |
| Fax | 3218427265 |
Authorized person
| Name | DR. JAMES GRADDY |
| Role | DIRECTOR OF PHARMACY |
| Phone | 4072376350 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22754 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 1027007 |
| Number | NCPDP |
| State | FL |
| Issuer | PH22754 |
| Number | PHARMACY PERMIT |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOLDRICH DONALD S | Agent | 480 JEFFERSON DR, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2006-11-27 |
| Domestic Profit | 2005-12-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
