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MEDOZ PHARMACY OF OSCEOLA INC - Florida Company Profile

Company Details

Entity Name: MEDOZ PHARMACY OF OSCEOLA INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MEDOZ PHARMACY OF OSCEOLA 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: 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: 12 Nov 2009 (15 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: P09000092873
FEI/EIN Number 271315859

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 720 WEST OAK STREET, 114, KISSIMMEE, FL, 34741, US
Mail Address: 2038 Autumn View Dr, Orlando, FL, 32825, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083921860 2010-09-01 2012-09-17 720 W OAK ST, STE 114, KISSIMMEE, FL, 347414989, US 720 W OAK ST, STE 114, KISSIMMEE, FL, 347414989, US

Contacts

Phone +1 407-374-2550
Fax 4073474097

Authorized person

Name UDAYKUMAR DESAI
Role CEO
Phone 4073742550

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0002X - Clinic Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 24831
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 106499034
State FL
Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 5701556

Key Officers & Management

Name Role Address
ANBALAGAN SUNDARAMPILLAI President 13726 LAKE CAWOOD DRIVE, WINDERMERE, FL, 34786
DESAI VIRAL V Chief Financial Officer 3483 DUNBAR LANE, SUWANEE, GA, 30024
DESAI UDAYKUMAR J Chief Executive Officer 2038 AUTUMN VIEW DRIVE, ORLANDO, FL, 32825
Desai Udaykumar Agent 2038 Autumn View Dr, Orlando, FL, 32825

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000060192 MEDOZ PHARMACY EXPIRED 2013-06-15 2018-12-31 - 2038 AUTUMN VIEW DR, 2038 AUTUMN VIEW DR, ORLANDO, FL, 32825

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF MAILING ADDRESS 2013-04-27 720 WEST OAK STREET, 114, KISSIMMEE, FL 34741 -
REGISTERED AGENT NAME CHANGED 2013-04-27 Desai, Udaykumar -
REGISTERED AGENT ADDRESS CHANGED 2013-04-27 2038 Autumn View Dr, Orlando, FL 32825 -
CHANGE OF PRINCIPAL ADDRESS 2012-05-01 720 WEST OAK STREET, 114, KISSIMMEE, FL 34741 -

Documents

Name Date
ANNUAL REPORT 2014-03-31
ANNUAL REPORT 2013-04-27
ANNUAL REPORT 2012-05-01
ANNUAL REPORT 2011-04-11
ANNUAL REPORT 2010-02-17
Domestic Profit 2009-11-12

Date of last update: 01 Apr 2025

Sources: Florida Department of State