Entity Name: | GULF MEDICAL SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 12 Jun 1987 (38 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: | J77418 |
FEI/EIN Number | 59-2849613 |
Address: | 3103 N. 12TH AVE., PENSACOLA, FL 32503 |
Mail Address: | 3103 N. 12TH AVE., PENSACOLA, FL 32503 |
ZIP code: | 32503 |
County: | Escambia |
Place of Formation: | FLORIDA |
Type | Company Name | Company Number | State |
---|---|---|---|
Headquarter of | GULF MEDICAL SERVICES, INC., ALABAMA | 000-902-100 | ALABAMA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649365669 | 2006-10-04 | 2011-03-11 | 320 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472546, US | 320 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472546, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 850-314-9955 |
Fax | 8503149927 |
Authorized person
Name | MR. KENNETH R STEBER |
Role | PRESIDENT |
Phone | 8504387600 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 1593 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
License Number | HME 1593 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 028315100 |
State | FL |
Issuer | BCBS FL |
Number | R002G |
State | FL |
Name | Role | Address |
---|---|---|
STEBER, KENNETH R | Agent | 3103 N 12TH AVENUE, PENSACOLA, FL 32503 |
Name | Role | Address |
---|---|---|
STEBER, KENNETH R | President | 1600 Via Deluna, #705 Gulf Breeze, FL 32561 |
Name | Role | Address |
---|---|---|
ROBERTS, RICHARD A | Vice President | 1951 Iris Lane, Navarre, FL 32566 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-11-04 | STEBER, KENNETH R | No data |
REINSTATEMENT | 2019-11-04 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-03-22 | 3103 N 12TH AVENUE, PENSACOLA, FL 32503 | No data |
CHANGE OF PRINCIPAL ADDRESS | 1994-02-21 | 3103 N. 12TH AVE., PENSACOLA, FL 32503 | No data |
CHANGE OF MAILING ADDRESS | 1994-02-21 | 3103 N. 12TH AVE., PENSACOLA, FL 32503 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J24000255610 | ACTIVE | 1000000990045 | ESCAMBIA | 2024-04-23 | 2034-05-01 | $ 4,265.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 2205 LA VISTA AVE STE B, PENSACOLA FL325048210 |
J22000133316 | ACTIVE | 1000000918698 | ESCAMBIA | 2022-03-14 | 2042-03-15 | $ 18,154.96 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
J18000038323 | ACTIVE | 1000000768090 | ESCAMBIA | 2018-01-10 | 2038-01-31 | $ 19,881.49 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 2205 LA VISTA AVE STE B, PENSACOLA FL325048210 |
J16000238406 | TERMINATED | 1000000709687 | ESCAMBIA | 2016-03-31 | 2036-04-06 | $ 30,004.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
Name | Date |
---|---|
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-04-20 |
REINSTATEMENT | 2019-11-04 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-02-13 |
ANNUAL REPORT | 2016-04-29 |
ANNUAL REPORT | 2015-02-23 |
ANNUAL REPORT | 2014-04-14 |
ANNUAL REPORT | 2013-02-20 |
ANNUAL REPORT | 2012-03-09 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State