| Entity Name: | LANE AVENUE PHARMACY, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LANE AVENUE PHARMACY, INCORPORATED is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Aug 2007 (18 years ago) |
| Date of dissolution: | 09 Apr 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Apr 2024 (a year ago) |
| Document Number: | P07000093730 |
| FEI/EIN Number |
260757826
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1233-9 LANE AVENUE SOUTH, JACKSONVILLE, FL, 32205, US |
| Mail Address: | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427233584 | 2008-01-08 | 2010-06-14 | 2595 WATERMILL DR, ORANGE PARK, FL, 320731621, US | 1233 LANE AVE S, STE 9, JACKSONVILLE, FL, 322056284, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-693-6633 |
| Fax | 9046936684 |
Authorized person
| Name | FELIX OBASUYI |
| Role | OWNER / PHARMACIST |
| Phone | 9046936633 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23097 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032420500 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1031412 |
| Name | Role | Address |
|---|---|---|
| OBASUYI FELIX O | President | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| OBASUYI FELIX O | Chief Executive Officer | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| OBASUYI FELIX O | Agent | 2595 WATERMILL DRIVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-09 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-11 | OBASUYI, FELIX OGHOGHO | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-16 | 1233-9 LANE AVENUE SOUTH, JACKSONVILLE, FL 32205 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-16 | 2595 WATERMILL DRIVE, ORANGE PARK, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2008-04-23 | 1233-9 LANE AVENUE SOUTH, JACKSONVILLE, FL 32205 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-09 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
