| Entity Name: | DIACARERX, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Apr 2006 (19 years ago) |
| Date of dissolution: | 21 Jan 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Jan 2010 (15 years ago) |
| Document Number: | P06000055275 |
| FEI/EIN Number | 204570370 |
| Address: | 1326 NORTH STATE ROAD 7, MARGATE, FL, 33063, US |
| Mail Address: | 19 SOUTH DIXIE HWY, LAKE WORTH, FL, 33460, US |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053322693 | 2006-08-10 | 2008-10-15 | 11 S DIXIE HWY, LAKE WORTH, FL, 334603727, US | 11 S DIXIE HWY, LAKE WORTH, FL, 334603727, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 800-977-7698 |
| Fax | 8888864995 |
Authorized person
| Name | ROBERT KREBS |
| Role | PRESIDENT |
| Phone | 8009200411 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22207 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1019923 |
| Name | Role | Address |
|---|---|---|
| BARENBOIM ELAN | Agent | 1712 SW 4TH COURT, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| KAPLAN LORI | President | 1326 N. STATE ROAD 7, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-01-21 | No data | No data |
| AMENDMENT | 2009-12-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-12-22 | 1326 NORTH STATE ROAD 7, MARGATE, FL 33063 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-12-22 | BARENBOIM, ELAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-12-22 | 1712 SW 4TH COURT, FORT LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-03 | 1326 NORTH STATE ROAD 7, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-01-21 |
| Amendment | 2009-12-22 |
| ANNUAL REPORT | 2009-04-03 |
| ANNUAL REPORT | 2008-04-07 |
| ANNUAL REPORT | 2007-01-10 |
| Off/Dir Resignation | 2006-04-17 |
| Domestic Profit | 2006-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
