| Entity Name: | PALM MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
PALM MEDICINE, INC. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Apr 2011 (14 years ago) |
| Document Number: | P11000035240 |
| FEI/EIN Number |
45-1340608
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2711 EAST ATLANTIC BLVD, POMPANO BEACH, FL 33062 |
| Mail Address: | 2711 EAST ATLANTIC BLVD, POMPANO BEACH, FL 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477823474 | 2012-01-06 | 2012-08-01 | 2711 E ATLANTIC BLVD, POMPANO BEACH, FL, 330624941, US | 2711 E ATLANTIC BLVD, POMPANO BEACH, FL, 330624941, US | |||||||||||||||||||||||
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| Phone | +1 954-532-7940 |
| Fax | 9548761286 |
Authorized person
| Name | ROBERT SHAHNAZARIAN |
| Role | OWNER/ PHARMACIST |
| Phone | 9543369097 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25870 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5711127 |
| Name | Role | Address |
|---|---|---|
| SHAHNAZARIAN, ROBERT | Agent | 7789 Travelers Tree Drive, Boca Raton, FL 33433, BOCA RATON, FL 33433 |
| Shahnazarian, Robert | Director | 7789 Travelers Tree Drive, Boca Raton, FL 33433 BOCA RATON, FL 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-04 | 7789 Travelers Tree Drive, Boca Raton, FL 33433, BOCA RATON, FL 33433 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-18 | 2711 EAST ATLANTIC BLVD, POMPANO BEACH, FL 33062 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-18 | 2711 EAST ATLANTIC BLVD, POMPANO BEACH, FL 33062 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4970707710 | 2020-05-01 | 0455 | PPP | 2711 E ATLANTIC BLVD, POMPANO BEACH, FL, 33062-4941 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Feb 2025
Sources: Florida Department of State
