| Entity Name: | HEARTLAND PHARMACY LAKE PLACID, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Sep 2012 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Sep 2012 (12 years ago) |
| Document Number: | P12000075841 |
| FEI/EIN Number | 46-0908291 |
| Address: | 342 E. ROYAL PALM DRIVE, LAKE PLACID, FL, 33852, US |
| Mail Address: | 1707 Divot Ln, SEBRING, FL, 33872, US |
| ZIP code: | 33852 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306584156 | 2022-05-23 | 2022-05-23 | 342 E ROYAL PALM ST, LAKE PLACID, FL, 338525019, US | 342 E ROYAL PALM ST, LAKE PLACID, FL, 338525019, US | |||||||||||||||
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| Phone | +1 863-659-1780 |
| Fax | 8636591786 |
Authorized person
| Name | CARIN D BRALTS |
| Role | OWNER, PHARMACIST |
| Phone | 8636591780 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bralts Carin D | Agent | 342 E. ROYAL PALM DRIVE, LAKE PLACID, FL, 33852 |
| Name | Role | Address |
|---|---|---|
| BRALTS CARIN D | President | 1707 Divot Ln, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| BRALTS CARIN D | Vice President | 1707 Divot Ln, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| BRALTS CARIN D | Treasurer | 1707 Divot Ln, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| BRALTS CARIN D | Secretary | 1707 Divot Ln, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| BRALTS CARIN D | Director | 1707 Divot LN, SEBRING, FL, 33872 |
| Bralts Duncan L | Director | 1707 Divot Ln, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| The Carin Duncan Bralts Revocable Trust | Othe | 1707 Divot Ln, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 342 E. ROYAL PALM DRIVE, LAKE PLACID, FL 33852 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-03 | Bralts, Carin D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-03 | 342 E. ROYAL PALM DRIVE, LAKE PLACID, FL 33852 | No data |
| AMENDMENT | 2012-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
