| Entity Name: | GREY DOG INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Sep 1994 (30 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P94000065980 |
| FEI/EIN Number | 65-0541084 |
| Address: | 848 Brickell Key Drive, #3102, Miami, FL 33131 |
| Mail Address: | 848 Brickell Key Drive, #3102, Miami, FL 33131 |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568546901 | 2006-10-24 | 2018-07-19 | 8950 N KENDALL DR, SUITE 102, MIAMI, FL, 33176, US | 8950 N KENDALL DR, SUITE 102, MIAMI, FL, 331762144, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-273-8221 |
| Fax | 3052730241 |
Authorized person
| Name | GERALD GEIST |
| Role | RPH/PRESIDENT |
| Phone | 3052738221 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH13835 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2009756 |
| Issuer | MEDICAID |
| Number | 103501100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEIST, GERALD | Agent | 848 Brickell Key Drive, #3102, Miami, FL 33131 |
| Name | Role | Address |
|---|---|---|
| GEIST, GERALD | President | 848 Brickell Key Drive, #3102 Miami, FL 33131 |
| Name | Role | Address |
|---|---|---|
| GEIST, GERALD | Director | 848 Brickell Key Drive, #3102 Miami, FL 33131 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000104239 | BAPTIST MEDICAL ARTS PHARMACY | EXPIRED | 2009-05-05 | 2014-12-31 | No data | 8950 N. KENDALL DRIVE, #102, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 848 Brickell Key Drive, #3102, Miami, FL 33131 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 848 Brickell Key Drive, #3102, Miami, FL 33131 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-28 | 848 Brickell Key Drive, #3102, Miami, FL 33131 | No data |
| REGISTERED AGENT NAME CHANGED | 1995-03-17 | GEIST, GERALD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-02-12 |
| ANNUAL REPORT | 2013-02-20 |
| ANNUAL REPORT | 2012-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
