| Entity Name: | RADIANCE ENTERPRISES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Sep 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P06000124356 |
| FEI/EIN Number | 26-0487342 |
| Address: | 417 N West St., Bushnell, FL, 33513, US |
| Mail Address: | PO Box 460573, Fort Lauderdale, FL, 33346, US |
| ZIP code: | 33513 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134413560 | 2011-06-02 | 2023-06-08 | 417 N WEST ST, BUSHNELL, FL, 335136021, US | 417 N WEST ST, BUSHNELL, FL, 335136021, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-569-5800 |
| Fax | 3525695802 |
Authorized person
| Name | JACK DIAMOND |
| Role | PHARMACY MANAGER |
| Phone | 3525695800 |
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 | PH25415 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2130577 |
| Issuer | MEDICAID |
| Number | 003766101 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003766100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Triant Stavros | Agent | 400 SW 1st Ave, 33301, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| Triant Stavros | President | 400 SW 1st Ave, Fort Lauderdale, FL, 33301 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000043660 | BUSHNELL PHARMACY | ACTIVE | 2023-04-05 | 2028-12-31 | No data | 417 N. WEST ST, BUSHNELL, FL, 33513 |
| G22000086319 | WIZE PHARMACY | ACTIVE | 2022-07-21 | 2027-12-31 | No data | 417 N WEST ST, BUSHNELL, FL, 33513 |
| G11000026400 | WIZE PHARMACY | EXPIRED | 2011-03-14 | 2016-12-31 | No data | 3637 CHATHAM DR, PALM HARBOR, FL, 34684 |
| G10000046030 | PLUSZERO | EXPIRED | 2010-06-04 | 2015-12-31 | No data | 3637 CHATHAM DRIVE, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-10 | 417 N West St., Bushnell, FL 33513 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-06 | 417 N West St., Bushnell, FL 33513 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-06 | Triant, Stavros | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-12-06 | 400 SW 1st Ave, #2210, 33301, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-10 |
| AMENDED ANNUAL REPORT | 2022-12-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-07 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
