| Entity Name: | GULF MED PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Dec 2015 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P15000099862 |
| FEI/EIN Number | 81-0926778 |
| Address: | 4106 DEL PRADO BLVD S, CAPE CORAL, FL, 33904, US |
| Mail Address: | 4106 DEL PRADO BLVD S, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538529060 | 2016-02-25 | 2016-12-18 | 4106 DEL PRADO BLVD S, CAPE CORAL, FL, 339047163, US | 4106 DEL PRADO BLVD S, CAPE CORAL, FL, 339047163, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-542-1291 |
| Fax | 2395421292 |
Authorized person
| Name | GUERDITH FERTIL |
| Role | PRESIDENT/OWNER |
| Phone | 2395419789 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30406 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2158420 |
| Name | Role | Address |
|---|---|---|
| FERTIL GUERDITH | Agent | 4106 DEL PRADO BLVD, CAPE CORAL, FL, 33914 |
| Name | Role | Address |
|---|---|---|
| FERTIL GUERDITH | President | 4106 DEL PRADO BLVD, CAPE CORAL, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| Fertil RICARD | Secretary | 4106 DEL PRADO BLVD S, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-30 | 4106 DEL PRADO BLVD S, CAPE CORAL, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-30 | 4106 DEL PRADO BLVD S, CAPE CORAL, FL 33904 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000523035 | ACTIVE | 1000000966283 | LEE | 2023-10-10 | 2033-11-01 | $ 496.67 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-06-30 |
| ANNUAL REPORT | 2016-03-14 |
| Domestic Profit | 2015-12-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
