| Entity Name: | PHARMACY AT ABACOA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PHARMACY AT ABACOA, INC. 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: | 03 Jan 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Feb 2017 (8 years ago) |
| Document Number: | P17000000660 |
| FEI/EIN Number |
81-4813388
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1155 MAIN STREET, UNIT 109, JUPITER, FL, 33458, US |
| Mail Address: | PO BOX 912, JUPITER, FL, 33468, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093222622 | 2018-01-04 | 2021-11-17 | PO BOX 912, JUPITER, FL, 33468, US | 1155 MAIN ST, UNIT 109, JUPITER, FL, 334585263, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 855-349-6800 |
| Fax | 5616303771 |
| Phone | +1 561-630-3770 |
Authorized person
| Name | DANIEL SPIVAK |
| Role | CEO |
| Phone | 5616303770 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH30819 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2175233 |
| Issuer | MEDICAID |
| Number | 022716900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPIVAK DANIEL | Chief Executive Officer | 150 OAKWOOD LN, PALM BEACH GARDENS, FL, 33410 |
| SPIVAK PAUL | Agent | 148 OAKWOOD LANE, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-02-13 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-11 |
| AMENDED ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-20 |
| AMENDED ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5788317709 | 2020-05-01 | 0455 | PPP | 1155 MAIN ST STE 109, JUPITER, FL, 33458-5264 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8697708310 | 2021-01-29 | 0455 | PPS | 1155 Main St Ste 109, Jupiter, FL, 33458-5264 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
