| Entity Name: | ACCARDI CLINICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Aug 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2019 (5 years ago) |
| Document Number: | P98000069576 |
| FEI/EIN Number | 593532289 |
| Address: | 2583 South Volusia Avenue, Orange City, FL, 32763, US |
| Mail Address: | 2583 South Volusia Avenue, Orange City, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306005186 | 2008-06-05 | 2010-12-22 | 2583 S VOLUSIA AVE, STE 100, ORANGE CITY, FL, 327639129, US | 2583 S VOLUSIA AVE, STE 100, ORANGE CITY, FL, 327639129, US | |||||||||||||||||||||||
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| Phone | +1 386-774-5800 |
| Fax | 3867745656 |
Authorized person
| Name | J ROGER ACCARDI |
| Role | OWNER |
| Phone | 3867745800 |
Taxonomy
| Taxonomy Code | 3336I0012X - Institutional Pharmacy |
| License Number | PH16425 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1035307 |
| Name | Role | Address |
|---|---|---|
| ACCARDI J. ROGER Dr. | Agent | 2583 South Volusia Avenue, Orange City, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| Accardi John R | President | 449 HIGHTOWER DRIVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| Accardi Virginia | Secretary | 2583 South Volusia Avenue, Orange City, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2583 South Volusia Avenue, Suite 100, Orange City, FL 32763 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 2583 South Volusia Avenue, Suite 100, Orange City, FL 32763 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 2583 South Volusia Avenue, Suite 100, Orange City, FL 32763 | No data |
| REINSTATEMENT | 2019-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-23 | ACCARDI, J. ROGER, Dr. | No data |
| REINSTATEMENT | 2017-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-09-20 |
| ANNUAL REPORT | 2020-06-30 |
| REINSTATEMENT | 2019-09-30 |
| ANNUAL REPORT | 2018-09-21 |
| REINSTATEMENT | 2017-10-23 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
