| Entity Name: | PETER BOTROS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PETER BOTROS PHARMACY, INC. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Oct 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Nov 2016 (8 years ago) |
| Document Number: | P07000113683 |
| FEI/EIN Number |
412255325
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 121 Victoria Commons Blvd., 102, DELAND, FL, 32724, US |
| Mail Address: | 121 Victoria Commons Blvd., 102, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982864831 | 2008-06-13 | 2019-08-02 | 121 VICTORIA COMMONS BLVD, SUITE #102, DELAND, FL, 32724, US | 121 VICTORIA COMMONS BLVD, SUITE #102, DELAND, FL, 32724, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-734-8477 |
| Fax | 3867348488 |
Authorized person
| Name | MICHAEL SHALBY KAMEL |
| Role | PRESIDENT & OWNER |
| Phone | 3867348477 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23396 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2128204 |
| Issuer | MEDICAID |
| Number | 000362700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KAMEL MICHAEL S | President | 121 Victoria Commons Blvd., DELAND, FL, 32724 |
| KAMEL MICHAEL S | Agent | 6631 MERRY VALE LANE, PORT ORANGE, FL, 32128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-09 | 121 Victoria Commons Blvd., 102, DELAND, FL 32724 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-09 | 121 Victoria Commons Blvd., 102, DELAND, FL 32724 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-11-21 | 6631 MERRY VALE LANE, 102, PORT ORANGE, FL 32128 | - |
| AMENDMENT | 2016-11-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-11-21 | KAMEL, MICHAEL S. | - |
| AMENDMENT | 2016-02-18 | - | - |
| AMENDMENT | 2016-02-10 | - | - |
| AMENDMENT | 2015-09-04 | - | - |
| AMENDMENT | 2009-01-06 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-21 |
| Amendment | 2016-11-21 |
| ANNUAL REPORT | 2016-03-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
