| Entity Name: | GOODLIFE PHARMACY .INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Mar 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P07000031717 |
| FEI/EIN Number | 208606638 |
| Address: | 8903 GLADES RD STE G13, BOCA RATON, FL, 33434, US |
| Mail Address: | 8903 GLADES RD STE G13, BOCA RATON, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083937395 | 2010-03-02 | 2017-01-18 | 8903 GLADES RD STE G13, BOCA RATON, FL, 334344091, US | 8903 GLADES RD STE G13, BOCA RATON, FL, 334344091, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-999-8855 |
| Fax | 8886886310 |
Authorized person
| Name | EDUARDO GIL |
| Role | PRESIDENT |
| Phone | 5619998855 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | NP000002 |
| State | PA |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24484 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2123482 |
| Issuer | MEDICAID |
| Number | 0091833000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Klein and Fortune | Agent | 4340 Sheridan St, Hollywood, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| GIL EDUARDO | President | 8903 GLADES RD STE G13, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-05-01 | Klein and Fortune | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-05-01 | 4340 Sheridan St, Suite 102, Hollywood, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-26 | 8903 GLADES RD STE G13, BOCA RATON, FL 33434 | No data |
| AMENDMENT | 2012-11-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-11-26 | 8903 GLADES RD STE G13, BOCA RATON, FL 33434 | No data |
| AMENDMENT | 2012-05-08 | No data | No data |
| AMENDMENT | 2009-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| Amendment | 2012-11-26 |
| ANNUAL REPORT | 2012-05-08 |
| Amendment | 2012-05-08 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
