| Entity Name: | ADVENTURA SICKROOM SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Jul 1984 (41 years ago) |
| Document Number: | H11253 |
| FEI/EIN Number | 592419358 |
| Address: | C/O LISA LEHMAN, 136 S. FEDERAL HWY, HALLANDALE, FL, 33009, US |
| Mail Address: | Lisa Lehman, 4000 Towerside Terrace, Miami, FL, 33138, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700872793 | 2005-09-23 | 2020-08-22 | 136 S FEDERAL HWY, HALLANDALE BEACH, FL, 330095507, US | 136 S FEDERAL HWY, HALLANDALE BEACH, FL, 330095507, US | |||||||||||||||||||||||
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| Phone | +1 954-458-1959 |
| Fax | 9544581885 |
Authorized person
| Name | MRS. DIANE HATCHER |
| Role | VP |
| Phone | 9544581959 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 174 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEHMAN, LISA | Agent | 136 S FEDERAL HWY, HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| LEHMAN, LISA | President | 136 S FEDERAL HWY, HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| LEHMAN, LISA | Director | 136 S FEDERAL HWY, HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| Colon Edward J | Vice President | 136 South Federal Highway, Hallandale, FL, 33009 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000043384 | DIDIMEDICAL.COM | EXPIRED | 2016-04-29 | 2021-12-31 | No data | 136 SOUTH FEDERAL HWY, HALLANDALE, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
