| Entity Name: | SKINNY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Feb 2004 (21 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Aug 2024 (5 months ago) |
| Document Number: | L04000009578 |
| FEI/EIN Number | 20-0686689 |
| Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 |
| Mail Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134190002 | 2006-01-30 | 2021-09-30 | 3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US | 18735 SAKERA RD, HUDSON, FL, 34667, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-206-0040 |
| Fax | 4072060010 |
| Phone | +1 727-861-5542 |
| Fax | 7278615545 |
Authorized person
| Name | STEPHEN P GRIGGS |
| Role | CEO |
| Phone | 4072060040 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312131 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32103793 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER # |
| Number | R9612 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| UNITED CORPORATE SERVIES, INC. | Agent | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 |
| Name | Role | Address |
|---|---|---|
| Foster , Suzanne | President and CEO | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 |
| Name | Role | Address |
|---|---|---|
| Russalesi, Wendy | CHIEF COMPLIANCE OFFICER | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA 19462 |
| Name | Role | Address |
|---|---|---|
| Russalesi, Wendy | AUTHORIZED PERSON | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA 19462 |
| Name | Role | Address |
|---|---|---|
| CLEMENS, JASON | Treasurer and CFO | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000023070 | HOME OXYGEN MEDICAL EQUIPMENT OF HERNANDO | ACTIVE | 2010-03-11 | 2025-12-31 | No data | 220 W GERMANTOWN PIKE,SUITE 250, PLUMOUTH MEETING, PA, 19462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-21 | No data | No data |
| LC STMNT OF RA/RO CHG | 2022-10-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-14 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-14 | UNITED CORPORATE SERVIES, INC. | No data |
| LC AMENDMENT | 2011-02-01 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-13 |
| LC Amendment | 2024-08-21 |
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-05 |
| AMENDED ANNUAL REPORT | 2022-10-18 |
| CORLCRACHG | 2022-10-14 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-06-02 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-25 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
