| Entity Name: | OUTPATIENT MEDICAL SUPPLIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Mar 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L05000028546 |
| FEI/EIN Number | 202549920 |
| Address: | 7481 WEST OAKLAND PARK BLVD, SUITE 303, LAUDERHILL, FL, 33319 |
| Mail Address: | 7481 WEST OAKLAND PARK BLVD, SUITE 303, LAUDERHILL, FL, 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295745222 | 2006-08-09 | 2007-11-29 | 7481 W OAKLAND PARK BLVD, SUITE 303, TAMARAC, FL, 333194985, US | 7481 W OAKLAND PARK BLVD, SUITE 303, TAMARAC, FL, 333194985, US | |||||||||||||||||||||||||
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| Phone | +1 954-572-2616 |
| Fax | 9545726770 |
Authorized person
| Name | MR. MICHAEL OSWALD HONORE |
| Role | PRESIDENT/GENERAL MANAGER |
| Phone | 9544390142 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1313022 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FL HME LICENCE |
| Number | 1313022 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NABIE NAZAM | Agent | 5089 NW 41ST PL, LAUDERDALE LAKES, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| NABIE NAZAM | Manager | 5089 NW 41ST PLACE, LAUDERDALE LAKES, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| LC AMENDMENT | 2009-07-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-06-09 | NABIE, NAZAM | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-09 | 7481 WEST OAKLAND PARK BLVD, SUITE 303, LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-24 | 5089 NW 41ST PL, LAUDERDALE LAKES, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-31 | 7481 WEST OAKLAND PARK BLVD, SUITE 303, LAUDERHILL, FL 33319 | No data |
| AMENDMENT | 2005-06-15 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2009-07-20 |
| ANNUAL REPORT | 2009-06-19 |
| ANNUAL REPORT | 2009-06-09 |
| ANNUAL REPORT | 2008-02-15 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-01-31 |
| Amendment | 2005-06-15 |
| Florida Limited Liability | 2005-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
