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PALM LAKES PHARMACY,INC

Company Details

Entity Name: PALM LAKES PHARMACY,INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Oct 2006 (18 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P06000126192
FEI/EIN Number 205646768
Address: 3300 WEST 84TH STREET, SUITE 3, HIALEAH, FL, 33018, US
Mail Address: 3300 WEST 84TH STREET, SUITE 3, HIALEAH, FL, 33018, US
ZIP code: 33018
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285793828 2006-12-08 2008-11-05 3300 W 84TH ST, BAY #3, HIALEAH, FL, 330184903, US 3300 W 84TH ST, BAY #3, HIALEAH, FL, 330184903, US

Contacts

Phone +1 305-823-2885
Fax 3058232890

Authorized person

Name MRS. ROSALIA DEYSI PEREZ
Role PRESIDENT
Phone 3058232885

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number APPLIED FOR
State FL
Is Primary Yes

Agent

Name Role Address
PEREZ ROSALIA D Agent 3300 WEST 84TH STREET, HIALEAH, FL, 33018

President

Name Role Address
PEREZ ROSALIA D President 3300 WEST 84TH STREET STE#3, HIALEAH, FL, 33018

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REINSTATEMENT 2011-02-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-29 3300 WEST 84TH STREET, SUITE 3, HIALEAH, FL 33018 No data
CHANGE OF MAILING ADDRESS 2009-04-29 3300 WEST 84TH STREET, SUITE 3, HIALEAH, FL 33018 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-29 3300 WEST 84TH STREET, SUITE 3, HIALEAH, FL 33018 No data

Documents

Name Date
REINSTATEMENT 2011-02-24
ANNUAL REPORT 2009-04-29
ANNUAL REPORT 2008-04-17
ANNUAL REPORT 2007-07-10
Domestic Profit 2006-10-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State