| Entity Name: | MAXCARE PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Mar 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P11000030628 |
| FEI/EIN Number | 45-1242512 |
| Address: | 2000 BANKS RD SUITE 210, MARGATE, FL 33063 |
| Mail Address: | 2000 BANKS RD SUITE 210, MARGATE, FL 33063 |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780965855 | 2011-09-02 | 2013-02-12 | 2000 BANKS RD STE 210, MARGATE, FL, 330637769, US | 2000 BANKS RD STE 210, MARGATE, FL, 330637769, US | |||||||||||||||||||||||
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| Phone | +1 954-978-7710 |
| Fax | 9549787725 |
Authorized person
| Name | LESLY JEAN-BAPTISTE |
| Role | PHARMACIST/OWNER |
| Phone | 9549787710 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH25655 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5707508 |
| Name | Role | Address |
|---|---|---|
| Cidera, Daniel, Accountant | Agent | 4910 14th Street, Suite 105, Bradenton, FL 34207 |
| Name | Role | Address |
|---|---|---|
| JEAN BAPTISTE, LESLY | President | 1855 NE 121 STREET, MIAMI, FL 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-05-01 | Cidera, Daniel, Accountant | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-01 | 4910 14th Street, Suite 105, Bradenton, FL 34207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-07-05 | 2000 BANKS RD SUITE 210, MARGATE, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2011-07-05 | 2000 BANKS RD SUITE 210, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-05 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-03-22 |
| Domestic Profit | 2011-03-29 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
