| Entity Name: | SUNSHINE WILD INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Nov 2022 (2 years ago) |
| Document Number: | P09000034501 |
| FEI/EIN Number | 264773476 |
| Address: | 13757 N. NEBRASKA AVE., TAMPA, FL, 33613 |
| Mail Address: | 13757 N. NEBRASKA AVE., TAMPA, FL, 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295049591 | 2010-07-29 | 2017-03-06 | 13757 N NEBRASKA AVE, TAMPA, FL, 336133320, US | 13757 N NEBRASKA AVE, TAMPA, FL, 336133320, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-971-5557 |
| Fax | 8139715558 |
Authorized person
| Name | NITIL PATEL |
| Role | PRESIDENT |
| Phone | 8139715557 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24741 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002747600 |
| State | FL |
| Issuer | PK |
| Number | 2128641 |
| Name | Role | Address |
|---|---|---|
| PATEL NITIL M | Agent | 15447 AZRA DR., ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| PATEL NITIL M | President | 15447 AZRA DR, ODESSA, FL, 33556 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000031034 | 5 STAR PHARMACY | ACTIVE | 2010-04-07 | 2025-12-31 | No data | 13757 N. NEBRASKA AVE., TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-11-13 | PATEL, NITIL M | No data |
| REINSTATEMENT | 2022-11-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-19 | 13757 N. NEBRASKA AVE., TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-19 | 13757 N. NEBRASKA AVE., TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-19 | 15447 AZRA DR., ODESSA, FL 33556 | No data |
| AMENDMENT | 2010-04-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-03-13 |
| REINSTATEMENT | 2022-11-13 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
