| Entity Name: | CORAL GABLES PHARMACY AND MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jul 2010 (15 years ago) |
| Date of dissolution: | 21 Aug 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Aug 2014 (10 years ago) |
| Document Number: | P10000059864 |
| FEI/EIN Number | 273111499 |
| Address: | 3160 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Mail Address: | 3160 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063714111 | 2010-11-23 | 2010-11-23 | 3160 PONCE DE LEON BLVD, CORAL GABLES, FL, 331346826, US | 3160 PONCE DE LEON BLVD, CORAL GABLES, FL, 331346826, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-444-5115 |
| Fax | 3054445119 |
Authorized person
| Name | RICARDO PAEZ |
| Role | PHARMACY MANAGER |
| Phone | 3054445115 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25066 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5702786 |
| Name | Role | Address |
|---|---|---|
| ALEITE ANA L | Agent | 3160 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ALMENARES MIRIELYS | President | 3160 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ALEITE ANA LUCIA | Secretary | 9804 SW 124 TERR, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| ALEITE ANA LUCIA | Vice President | 9804 SW 124 TERR, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| ALEITE JOYCE L | Treasurer | 9804 SW 124 TERR, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-08-21 | No data | No data |
| AMENDMENT | 2013-07-03 | No data | No data |
| AMENDMENT | 2013-06-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-06-20 | ALEITE, ANA L | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-08-21 |
| ANNUAL REPORT | 2014-01-17 |
| Amendment | 2013-07-03 |
| Amendment | 2013-06-20 |
| ANNUAL REPORT | 2013-02-04 |
| ANNUAL REPORT | 2012-01-27 |
| ANNUAL REPORT | 2011-04-01 |
| Domestic Profit | 2010-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
