| Entity Name: | OSCEOLA PHARMACY OF VERO BEACH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Aug 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000075829 |
| FEI/EIN Number | 453057272 |
| Address: | 1635 14TH AVENUE, VERO BEACH, FL, 32960 |
| Mail Address: | 1635 14TH AVENUE, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326310004 | 2012-01-27 | 2012-01-27 | 1635 14TH AVE, VERO BEACH, FL, 329600435, US | 1635 14TH AVE, VERO BEACH, FL, 329600435, US | |||||||||||||||||||||||
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| Phone | +1 772-562-3660 |
| Fax | 7725623650 |
Authorized person
| Name | AMAR PATEL |
| Role | OWNER |
| Phone | 7725623660 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH25827 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5708853 |
| Name | Role | Address |
|---|---|---|
| PATEL AMAR | Agent | 1635 14TH AVE., VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| PATEL AMAR | President | 1635 14TH AVE., VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-09 | 1635 14TH AVENUE, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-09 | 1635 14TH AVE., VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-09 |
| Domestic Profit | 2011-08-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
