| Entity Name: | MEDLINE ENTERPRISES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Nov 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: | P08000101720 |
| FEI/EIN Number | 263716117 |
| Address: | 3336 SOUTH DALE MABRY, TAMPA, FL, 33629 |
| Mail Address: | 7905 PIERCE HARWELL ROAD, PLANT CITY, FL, 33732 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336475482 | 2009-10-26 | 2010-04-06 | PO BOX 55632, ST PETERSBURG, FL, 337325632, US | 1206 PASADENA AVE S, SOUTH PASADENA, FL, 337076202, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-494-0458 |
| Fax | 7274899489 |
| Phone | +1 727-344-5151 |
Authorized person
| Name | KING YEOTAN |
| Role | PRESIDENT |
| Phone | 7273445151 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH24282 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1049926 |
| Name | Role | Address |
|---|---|---|
| YEOTAN KING K | Agent | 7905 PIERCE HARWELL ROAD, PLANT CITY, FL, 33565 |
| Name | Role | Address |
|---|---|---|
| YEOTAN KING | Chief Executive Officer | 7905 PIERCE HARWELL ROAD, PLANT CITY, FL, 33565 |
| Name | Role | Address |
|---|---|---|
| YEOTAN TELETHA | Vice President | 7905 PIERCE HARWELL ROAD, PLANT CITY, FL, 33565 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000152355 | PASADENA PHARMACY | EXPIRED | 2009-09-03 | 2014-12-31 | No data | P.O BOX 55632, ST PETERSBURG, FL, 33632 |
| G09000139175 | PROMED PHARMACY 2 | EXPIRED | 2009-07-27 | 2014-12-31 | No data | P.O BOX 55632, ST PETERSBURG, FL, 33732 |
| G08352900081 | ROYALLE MEDICAL CENTER | EXPIRED | 2008-12-16 | 2013-12-31 | No data | 6321, 4TH STREET NORTH, ST PETERSBURGH, FL, 33702 |
| G08323900124 | PROMED PHARMACY | EXPIRED | 2008-11-17 | 2013-12-31 | No data | 2722 N MORGAN STREET, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-04 | 7905 PIERCE HARWELL ROAD, PLANT CITY, FL 33565 | No data |
| REINSTATEMENT | 2011-01-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-04 | 3336 SOUTH DALE MABRY, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-04 | 3336 SOUTH DALE MABRY, TAMPA, FL 33629 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2009-10-29 | No data | No data |
| AMENDMENT | 2008-12-01 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001160739 | ACTIVE | 1000000517075 | HILLSBOROU | 2013-06-20 | 2033-06-26 | $ 2,953.27 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000763897 | ACTIVE | 1000000490780 | HILLSBOROU | 2013-04-11 | 2033-04-17 | $ 2,627.29 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000205808 | LAPSED | 1000000438473 | HILLSBOROU | 2013-01-14 | 2023-01-23 | $ 1,135.52 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12001115644 | ACTIVE | 1000000438421 | HILLSBOROU | 2012-12-18 | 2032-12-28 | $ 5,332.78 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000754336 | ACTIVE | 1000000350871 | HILLSBOROU | 2012-10-16 | 2032-10-25 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000754377 | LAPSED | 1000000350898 | HILLSBOROU | 2012-10-16 | 2022-10-25 | $ 3,222.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-01-04 |
| Amendment | 2009-10-29 |
| Amendment | 2008-12-01 |
| Domestic Profit | 2008-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
