| Entity Name: | SARASOTA DISCOUNT PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jan 2016 (9 years ago) |
| Document Number: | P16000010121 |
| FEI/EIN Number | 81-1324532 |
| Address: | 110 N LIME AVE, SARASOTA, FL, 34237 |
| Mail Address: | 110 N lime Ave, sarasota, FL, 34237, US |
| ZIP code: | 34237 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114384187 | 2016-01-21 | 2016-04-27 | 11O N LIVE AVE, SARASOTA, FL, 34237, US | 110 N LIME AVE, SARASOTA, FL, 342376122, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-444-6888 |
| Fax | 9414441313 |
Authorized person
| Name | GEOZEPH GHOBRIAL |
| Role | OWNER |
| Phone | 9414446888 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29889 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2159325 |
| Issuer | MEDICAID |
| Number | 017090400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GHOBRIAL GEOZEPH | Agent | 110 N LIME AVE, SARASOTA, FL, 34237 |
| Name | Role | Address |
|---|---|---|
| GHOBRIAL GEOZEPH | President | 110 N LIME AVE, SARASOTA, FL, 34237 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-02-14 | 110 N LIME AVE, SARASOTA, FL 34237 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-02-14 |
| Domestic Profit | 2016-01-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
