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PHYSICIAN FAMILY PHARMACY CORP

Company Details

Entity Name: PHYSICIAN FAMILY PHARMACY CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Feb 2017 (8 years ago)
Date of dissolution: 14 Jan 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 14 Jan 2024 (a year ago)
Document Number: P17000010928
FEI/EIN Number 81-4911994
Address: 6568 HYPOLUXO RD, 181, LAKE WORTH, FL 33467
Mail Address: 6568 HYPOLUXO RD, 181, LAKE WORTH, FL 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730731449 2019-07-12 2019-07-12 9716 PINES BLVD, PEMBROKE PINES, FL, 330246228, US 9716 PINES BLVD, PEMBROKE PINES, FL, 330246228, US

Contacts

Phone +1 954-676-1847

Authorized person

Name ANGELITA NICOLAS
Role PRESIDENT
Phone 5615011874

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Agent

Name Role Address
NICOLAS, ANGELITA Agent 6568 HYPOLUXO RD, 181, LAKE WORTH, FL 33467

President

Name Role Address
NICOLAS, ANGELITA President 6586 HYPOLUXO RD #181, LAKE WORTH, FL 33467

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000048274 PHYSICIAN FAMILY PHARMACY EXPIRED 2019-04-17 2024-12-31 No data 6568 HYPOLUXO RD #181, LAKE WORTH, FL, 33467
G19000044690 PHYSICIAN FAMILY PHARMACY PEMBROKE PINES EXPIRED 2019-04-08 2024-12-31 No data 9716 PINES BLVD, PEMBROKE PINES, FL, 33024
G18000099977 PHYSICIAN FAMILY PHARMACY COMPOUND & MINI CLINIC EXPIRED 2018-09-10 2023-12-31 No data 6568 HYPOLUXO RD, LAKE WORTH, FL, 33467
G18000039287 PHYSICIAN FAMILY PHARMACY COMPOUND AND MINI CLINIC EXPIRED 2018-03-25 2023-12-31 No data 6568 HYPOLUXO RD, LAKE WORTH, FL, 33467

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-01-14 No data No data
REINSTATEMENT 2023-03-17 No data No data
REGISTERED AGENT NAME CHANGED 2023-03-17 NICOLAS, ANGELITA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-01-14
REINSTATEMENT 2023-03-17
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-03-12
Domestic Profit 2017-02-01

Date of last update: 19 Jan 2025

Sources: Florida Department of State