| Entity Name: | AIRWAY RESPIRATORY SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Aug 2003 (21 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 05 Jun 2006 (19 years ago) |
| Document Number: | L03000029477 |
| FEI/EIN Number | 20-0210781 |
| Address: | 905 E ALFRED ST., TAVARES, FL 32778-3401 |
| Mail Address: | 905 E ALFRED ST., TAVARES, FL 32778-3401 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528060159 | 2005-08-12 | 2011-11-15 | 905 E ALFRED ST, TAVARES, FL, 327783401, US | 905 E ALFRED ST, TAVARES, FL, 327783401, US | |||||||||||||||||||||||||
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| Phone | +1 352-343-3006 |
| Fax | 3523439006 |
Authorized person
| Name | MR. CHARLES BRADLEY BOONE |
| Role | OWNER |
| Phone | 3523433006 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313037 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031601600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sobkowski, Michael J | Agent | 221 Magnolia Circle, Eustis, FL 32726 |
| Name | Role | Address |
|---|---|---|
| SOBKOWSKI, MICHAEL J | Managing Member | 221 Magnolia Circle, Eustis, FL 32726 |
| Kling, Debra K | Managing Member | 595 Owens Ln., Umatilla, FL 32784 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000020337 | AIRWAY OXYGEN AND MEDICAL SUPPLY | EXPIRED | 2012-02-28 | 2017-12-31 | No data | 905 E. ALFRED STREET, TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-02 | 221 Magnolia Circle, Eustis, FL 32726 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-16 | Sobkowski, Michael J | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-11-19 | 905 E ALFRED ST., TAVARES, FL 32778-3401 | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-19 | 905 E ALFRED ST., TAVARES, FL 32778-3401 | No data |
| LC AMENDMENT AND NAME CHANGE | 2006-06-05 | AIRWAY RESPIRATORY SOLUTIONS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-25 |
| AMENDED ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-02-16 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
