Entity Name: | MIL-CHRIS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 04 Apr 1977 (48 years ago) |
Document Number: | 530765 |
FEI/EIN Number | 591729752 |
Address: | 23988 US HIGHWAY 19 N, CLEARWATER, FL, 33765, US |
Mail Address: | 23988 US HIGHWAY 19 N, CLEARWATER, FL, 33765, US |
ZIP code: | 33765 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679670897 | 2006-09-20 | 2016-09-28 | 23988 US HIGHWAY 19 N, CLEARWATER, FL, 337651563, US | 23988 US HIGHWAY 19 N, CLEARWATER, FL, 337651563, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 727-399-8040 |
Fax | 7272149315 |
Authorized person
Name | MICHAEL S WHEELER |
Role | PRESIDENT |
Phone | 7273998040 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | AS1838 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 085120500 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | 590200000 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | J0056 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | J0056 |
State | MI |
Issuer | WORKER'S COMPENSATION |
Number | 159762500 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | 7102000 |
State | MI |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIL CHRIS INC 401(K) | 2010 | 591729752 | 2012-08-15 | MIL-CHRIS INC | 6 | |||||||||||||||||||||||||||||||||
|
Administrator’s EIN | 591729752 |
Plan administrator’s name | MIL-CHRIS INC |
Plan administrator’s address | 7501 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
Administrator’s telephone number | 7273998040 |
Signature of
Role | Plan administrator |
Date | 2012-08-15 |
Name of individual signing | AMY DOYLE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2002-01-01 |
Business code | 621399 |
Sponsor’s telephone number | 7273998040 |
Plan sponsor’s DBA name | AUDIBEL HEARING AID CENTER |
Plan sponsor’s address | 7501 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
Plan administrator’s name and address
Administrator’s EIN | 591729752 |
Plan administrator’s name | MIL CHRIS INC |
Plan administrator’s address | 7501 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
Administrator’s telephone number | 7273998040 |
Signature of
Role | Plan administrator |
Date | 2011-08-22 |
Name of individual signing | AMY DOYLE |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
WHEELER MICHAEL S | Agent | 23988 US Hwy 19 N, Clearwater, FL, 33765 |
Name | Role | Address |
---|---|---|
WHEELER MICHAEL S | President | 23988 US Hwy 19 N, Clearwater, FL, 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000073030 | AUDIBEL HEARING AID CENTER | EXPIRED | 2014-07-15 | 2024-12-31 | No data | 23988 US HIGHWAY 19 N, CLEARWATER, FL, 33765 |
G14000039826 | AUDIBEL HEARING CENTER | EXPIRED | 2014-04-22 | 2019-12-31 | No data | 7501 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State