Entity Name: | ALIMED LABORATORY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Apr 1985 (40 years ago) |
Document Number: | H54696 |
FEI/EIN Number | 592535278 |
Address: | 1028 N.E. 45TH STREET, OAKLAND PARK, FL, 33334, US |
Mail Address: | 1028 N.E. 45TH STREET, OAKLAND PARK, FL, 33334, US |
ZIP code: | 33334 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255583027 | 2008-10-10 | 2008-10-10 | 1028 NE 45TH ST, OAKLAND PARK, FL, 333343812, US | 1028 NE 45TH ST, OAKLAND PARK, FL, 333343812, US | |||||||||||||||||||||||||
|
Phone | +1 954-771-4155 |
Fax | 9547714154 |
Authorized person
Name | MRS. SUSAN CAVALIERE |
Role | ADMINISTRATOR / PHARMACIST |
Phone | 9547714155 |
Taxonomy
Taxonomy Code | 251F00000X - Home Infusion Agency |
License Number | PH8985 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | DMERC MEDICARE PART B DME / HOME INFUSION / PEN |
Number | 0810040001 |
State | FL |
Name | Role | Address |
---|---|---|
CAVALIERE, SUSAN | Agent | 2817 NE 37TH STREET, FT. LAUDERDALE, FL, 33308 |
Name | Role | Address |
---|---|---|
CAVALIERE JOSEPH V | Vice President | 2817 NE 37TH STREET, FT. LAUDERDALE, FL, 33308 |
Name | Role | Address |
---|---|---|
CAVALIERE, SUSAN | Secretary | 2817 NE 37TH STREET, FT. LAUDERDALE, FL |
Name | Role | Address |
---|---|---|
CAVALIERE, SUSAN | Treasurer | 2817 NE 37TH STREET, FT. LAUDERDALE, FL |
Name | Role | Address |
---|---|---|
CAVALIERE, SUSAN | President | 2817 NE 37TH STREET, FT. LAUDERDALE, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2018-03-07 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
REINSTATEMENT | 1988-11-22 | No data | No data |
INVOLUNTARILY DISSOLVED | 1988-11-04 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State