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GREY DOG, IV, INC.

Company Details

Entity Name: GREY DOG, IV, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Oct 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Oct 2017 (7 years ago)
Document Number: P15000081349
FEI/EIN Number 47-5217070
Address: 260 Crandon Blvd., C33, Key Biscayne, FL 33149
Mail Address: 260 Crandon Blvd., #C33, Key Biscayne, FL 33149
ZIP code: 33149
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275019705 2018-07-18 2018-07-18 260 CRANDON BLVD STE 33, KEY BISCAYNE, FL, 331491538, US 260 CRANDON BLVD STE 33, KEY BISCAYNE, FL, 331491538, US

Contacts

Phone +1 305-982-8727

Authorized person

Name RAFAEL PARRA
Role TREASURER
Phone 3057817768

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH31442
State FL
Is Primary Yes

Agent

Name Role Address
Geist, Gerald Agent 848 Brickell Key Drive, 3102, Miami, FL 33131

President

Name Role Address
GEIST, GERALD President 260 Crandon Blvd., C33 Key Biscayne, FL 33149

Vice President

Name Role Address
DIAZ, JAVIER Vice President 260 Crandon Blvd., C33 Key Biscayne, FL 33149

Treasurer

Name Role Address
PARRA, RAFAEL Treasurer 260 Crandon Blvd., C33 Key Biscayne, FL 33149

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000047520 ETHOS WELLNESS PHARMACY ACTIVE 2018-04-13 2028-12-31 No data 260 CRANDON BLVD, C33, KEY BISCAYNE, FL, 33149

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-28 260 Crandon Blvd., C33, Key Biscayne, FL 33149 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-28 848 Brickell Key Drive, 3102, Miami, FL 33131 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-28 260 Crandon Blvd., C33, Key Biscayne, FL 33149 No data
REINSTATEMENT 2017-10-20 No data No data
REGISTERED AGENT NAME CHANGED 2017-10-20 Geist, Gerald No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-28
REINSTATEMENT 2017-10-20
ANNUAL REPORT 2016-03-22
Domestic Profit 2015-10-01

Date of last update: 20 Jan 2025

Sources: Florida Department of State