| Entity Name: | RX CARE OF LADY LAKE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Jan 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P12000001733 |
| FEI/EIN Number | 45-4184129 |
| Mail Address: | 5908 Breckenridge Pkwy, Tampa, FL 33610 |
| Address: | 725 County Road 466, Lady Lake, FL 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | RX CARE OF LADY LAKE, INC, ALABAMA | 000-370-407 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881951184 | 2012-04-12 | 2020-08-25 | 725 HIGHWAY 466, LADY LAKE, FL, 32159, US | 725 HIGHWAY 466, LADY LAKE, FL, 321596340, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-633-2105 |
| Fax | 8888977367 |
Authorized person
| Name | ALPESH PATEL |
| Role | OWNER |
| Phone | 8133042221 |
Taxonomy
| Taxonomy Code | 163WD0400X - Diabetes Educator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH26009 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004868000 |
| State | FL |
| Issuer | PK |
| Number | 2134594 |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH | Agent | 5908 Breckenridge Pkwy, Tampa, FL 33610 |
| Name | Role | Address |
|---|---|---|
| PATEL, MANISH | Secretary | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH | Vice President | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| Name | Role | Address |
|---|---|---|
| PATEL, MANISH | President | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| Name | Role | Address |
|---|---|---|
| PATEL, ALPESH | Treasurer | 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000073775 | LADY LAKE PHARMACY | ACTIVE | 2020-06-29 | 2025-12-31 | No data | 5908 BRECKENRIDGE PKWY, TAMPA, FL, 33610 |
| G20000066945 | COUNTY ROAD PHARMACY | ACTIVE | 2020-06-15 | 2025-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
| G15000114642 | BENZER PHARMACY 120 | EXPIRED | 2015-11-10 | 2020-12-31 | No data | 725 US HWY 466, LADY LAKE, FL, 32159 |
| G14000126168 | BENZER PHARMACY | EXPIRED | 2014-12-15 | 2024-12-31 | No data | 5908 BRECKENRIDGE PARKWAY, TAMPA, FL, 33610 |
| G12000015450 | RX CARE PHARMACY | EXPIRED | 2012-02-13 | 2017-12-31 | No data | 2230 MARSHVIEW DR, APT 105, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-15 | 725 County Road 466, Lady Lake, FL 32159 | No data |
| AMENDMENT | 2017-11-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 725 County Road 466, Lady Lake, FL 32159 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 5908 Breckenridge Pkwy, Tampa, FL 33610 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-01-15 |
| Amendment | 2017-11-03 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
