| Entity Name: | TREASURE COAST SPECIALTY PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Mar 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Jul 2021 (4 years ago) |
| Document Number: | P06000038099 |
| FEI/EIN Number | 204531167 |
| Address: | 236 NE Abaca Way, Jensen Beach, FL, 34957, US |
| Mail Address: | 236 NE Abaca Way, Jensen Beach, FL, 34957, US |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396761854 | 2006-07-15 | 2011-02-16 | 1114 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574708, US | 1114 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574708, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 772-463-5316 |
| Fax | 7724635319 |
Authorized person
| Name | PETER DEL TORO |
| Role | OWNER AND RPH |
| Phone | 7724635316 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22113 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031666100 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1020128 |
| Name | Role | Address |
|---|---|---|
| Del Toro Law | Agent | 514 COLORADO AVENUE, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| DELTORO PETER | President | 236 NE ABACA WAY, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 514 COLORADO AVENUE, Stuart, FL 34994 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-24 | Del Toro Law | No data |
| REINSTATEMENT | 2021-07-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2014-05-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-21 | 236 NE Abaca Way, Jensen Beach, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-21 | 236 NE Abaca Way, Jensen Beach, FL 34957 | No data |
| AMENDMENT | 2011-08-04 | No data | No data |
| NAME CHANGE AMENDMENT | 2008-05-16 | TREASURE COAST SPECIALTY PHARMACY, INC. | No data |
| AMENDMENT | 2007-10-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-24 |
| REINSTATEMENT | 2021-07-08 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-26 |
| Amendment | 2014-05-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
