| Entity Name: | GAVIOTA PHARMACY DISCOUNT CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Sep 2008 (16 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: | P08000083633 |
| FEI/EIN Number | 263347207 |
| Address: | 10521 SW 40 ST, MIAMI, FL, 33165 |
| Mail Address: | 10521 SW 40 ST, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467605733 | 2008-10-29 | 2009-03-16 | 10521 SW 40TTH STREET, MIAMI, FL, 331653747, US | 10521 SW 40TTH STREET, MIAMI, FL, 331653747, US | |||||||||||||||||||||||
|
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| Phone | +1 305-223-6469 |
| Fax | 3052236479 |
Authorized person
| Name | ODALYS SANTANA |
| Role | OWNER |
| Phone | 3052236469 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23661 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1041475 |
| Name | Role | Address |
|---|---|---|
| SANTANA ODALYS | Agent | 10521 SW 40 ST, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| SANTANA ODALYS | President | 10521 SW 40 ST, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-05 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-04-30 |
| Domestic Profit | 2008-09-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
