Entity Name: | NEW LIFE COMMUNITY PHARMACY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 26 Oct 2011 (13 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | P11000093731 |
FEI/EIN Number | 45-3689610 |
Address: | 3032 NW 7 AVE, MIAMI, FL 33127 |
Mail Address: | 3032 NW 7 AVE, MIAMI, FL 33127 |
ZIP code: | 33127 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922377993 | 2011-12-21 | 2014-02-27 | 3032 NW 7TH AVE, MIAMI, FL, 331273624, US | 3032 NW 7TH AVE, MIAMI, FL, 331273624, US | |||||||||||||||||||||||||||
|
Phone | +1 786-360-4020 |
Fax | 7863345385 |
Authorized person
Name | JUAN CARLOS CORREA |
Role | PRESIDENT/OWNER |
Phone | 7863604020 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | Yes |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH27113 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 5708714 |
Name | Role | Address |
---|---|---|
CORREA, JUAN CARLOS | Agent | 3032 NW 7 AVE, MIAMI, FL 33127 |
Name | Role | Address |
---|---|---|
CORREA, JUAN CARLOS | Director | 3032 NW 7TH AVENUE, MIAMI, FL 33127 |
Name | Role | Address |
---|---|---|
CORREA, JUAN CARLOS | President | 3032 NW 7TH AVENUE, MIAMI, FL 33127 |
Name | Role | Address |
---|---|---|
CORREA, JUAN CARLOS | Secretary | 3032 NW 7TH AVENUE, MIAMI, FL 33127 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
AMENDMENT | 2013-12-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2013-12-23 | CORREA, JUAN CARLOS | No data |
AMENDMENT | 2013-06-28 | No data | No data |
AMENDMENT | 2013-05-02 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J15000457875 | ACTIVE | 1000000657887 | MIAMI-DADE | 2015-04-02 | 2035-04-17 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
J14000314343 | TERMINATED | 1000000588255 | MIAMI-DADE | 2014-03-06 | 2034-03-13 | $ 2,623.70 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119E 100 |
J14000314350 | LAPSED | 1000000588256 | MIAMI-DADE | 2014-03-06 | 2024-03-13 | $ 435.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119E 100 |
Name | Date |
---|---|
Amendment | 2013-12-23 |
Off/Dir Resignation | 2013-11-15 |
Amendment | 2013-06-28 |
ANNUAL REPORT | 2013-06-12 |
Amendment | 2013-05-02 |
ANNUAL REPORT | 2012-01-17 |
Domestic Profit | 2011-10-26 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State