| Entity Name: | FAMILY PHARMACY & MEDICAL SUPPLY, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FAMILY PHARMACY & MEDICAL SUPPLY, CORP is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 15 Jan 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Oct 2020 (4 years ago) |
| Document Number: | P15000005041 |
| FEI/EIN Number |
47-3182306
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9861 BERNWOOD PLACE DR, Ste 145, FORT MYERS, FL, 33966, US |
| Mail Address: | 9861 BERNWOOD PLACE DR, Ste 145, FORT MYERS, FL, 33966, US |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972973055 | 2015-10-01 | 2021-01-24 | 9861 BERNWOOD PLACE DR STE 145, FORT MYERS, FL, 339666545, US | 9861 BERNWOOD PLACE DR STE 145, FORT MYERS, FL, 339666545, US | |||||||||||||||||||||
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| Phone | +1 239-288-6997 |
| Fax | 2392886497 |
Authorized person
| Name | MR. FALGUN B PATEL |
| Role | MANAGER |
| Phone | 2392886997 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016655600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY PHARMACY & MEDICAL SUPPLY CORP | 2023 | 473182306 | 2024-10-04 | FAMILY PHARMACY & MEDICAL SUPPLY | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-04 |
| Name of individual signing | FALGUN PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATEL FALGUN B | President | 1235 CARRIAGE PARK DRIVE, VALRICO, FL, 33594 |
| PATEL FALGUN B | Treasurer | 1235 CARRIAGE PARK DRIVE, VALRICO, FL, 33594 |
| GUPTA DEEPAK | Vice President | 10350 Meadowrun Dr, Lithia, FL, 33547 |
| GUPTA DEEPAK | Agent | 10350 Meadowrun Dr, Lithia, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-23 | 9861 BERNWOOD PLACE DR, Ste 145, FORT MYERS, FL 33966 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-23 | 9861 BERNWOOD PLACE DR, Ste 145, FORT MYERS, FL 33966 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-23 | 10350 Meadowrun Dr, Lithia, FL 33547 | - |
| REGISTERED AGENT NAME CHANGED | 2023-04-14 | GUPTA, DEEPAK | - |
| AMENDMENT | 2020-10-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-22 |
| Amendment | 2020-10-28 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-04-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2191837302 | 2020-04-29 | 0455 | PPP | 9861 BERNWOOD PLACE DR 145, FORT MYERS, FL, 33966 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
