| Entity Name: | MILLENIUM CLINIC PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Jun 2016 (9 years ago) |
| Date of dissolution: | 31 Aug 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Aug 2018 (6 years ago) |
| Document Number: | P16000051606 |
| FEI/EIN Number | 81-3649875 |
| Address: | 12914 SW 133 CT, Miami, FL, 33186, US |
| Mail Address: | 500 NE 165TH ST RD, NORTH MIAMI, FL, 33169, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770007486 | 2017-08-03 | 2017-08-21 | 12914 SW 133RD CT STE B, MIAMI, FL, 331866585, US | 12914 SW 133RD CT STE B, MIAMI, FL, 331866585, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-301-5407 |
Authorized person
| Name | SHEREEN H ABDOH |
| Role | OWNER / PIC |
| Phone | 7863015407 |
Taxonomy
| Taxonomy Code | 3336C0002X - Clinic Pharmacy |
| License Number | PH30847 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH30847 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE PHARMACY LICENSE |
| Number | PH30847 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BATCHELDER STEVEN LSR | Agent | 2519 SW 30TH AVE, Fort Lauderdale, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ABDOH SHEREEN | President | 15481 SW 112 TERRACE, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| ESPINAL JOHN | Vice President | 500 NE 165TH ST RD SUITE 201, NORTH MIAMI, FL, 33169 |
| batchelder Steven L | Vice President | 2519 SW 30TH AVE, Fort Lauderdale, FL, 33312 |
| Assouad Farid Dr. | Vice President | 500 NE 165TH ST RD, NORTH MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| PHILYAW KHALLEE | Assistant Vice President | 3911 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000061501 | MILLENIUM DADE PHARMACY | EXPIRED | 2017-06-03 | 2022-12-31 | No data | 500NE 165TH ST RD, #201, NORTH MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-08-31 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-02 | 2519 SW 30TH AVE, Fort Lauderdale, FL 33312 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-03 | 12914 SW 133 CT, B, Miami, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-03 | 12914 SW 133 CT, B, Miami, FL 33186 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-08-31 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-06-03 |
| Domestic Profit | 2016-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
