| Entity Name: | KABS OF BRANDON INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jul 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P17000060270 |
| FEI/EIN Number | 82-2379811 |
| Address: | 759 W. BRANDON BLVD, BRANDON, FL, 33511, US |
| Mail Address: | 6800 SW 40 STREET SUITE 478, MIAMI, FL, 33155, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437328986 | 2008-02-28 | 2018-09-28 | 759 W BRANDON BLVD, BRANDON, FL, 335114901, US | 759 W BRANDON BLVD, BRANDON, FL, 335114901, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-413-8362 |
| Fax | 8134138370 |
Authorized person
| Name | ROSSANA R VILAR |
| Role | PRESIDENT |
| Phone | 7862008059 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23179 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2010760 |
| Issuer | MEDICAID |
| Number | 000608700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILAR ROSSANA R | Agent | 6800 SW 40 STREET SUITE 478, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| VILAR ROSSANA R | President | 6800 SW 40 ST SUITE 478, MIAMI, FL, 33157 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000088435 | KABS PHARMACY | EXPIRED | 2017-08-11 | 2022-12-31 | No data | 2812 EAST BEARSS AVE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2018-08-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-30 | 759 W. BRANDON BLVD, BRANDON, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-08-30 | VILAR, ROSSANA R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-08-30 | 6800 SW 40 STREET SUITE 478, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-06-24 |
| Amendment | 2018-08-30 |
| ANNUAL REPORT | 2018-03-26 |
| Domestic Profit | 2017-07-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
