| Entity Name: | D & E SUPPLIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 May 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L05000046165 |
| FEI/EIN Number | 202825533 |
| Address: | 4620 N. HIATUS RD., SUNRISE, FL, 33351 |
| Mail Address: | 4620 N. HIATUS RD., SUNRISE, FL, 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275569675 | 2006-06-25 | 2010-10-19 | 4620 N HIATUS RD, SUNRISE, FL, 333517909, US | 4620 N HIATUS RD, SUNRISE, FL, 333517909, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-747-5531 |
| Fax | 9545722899 |
Authorized person
| Name | MR. BRIAN M GORDON |
| Role | PRESIDENT |
| Phone | 9547475531 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312768 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 1312768 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1312768 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031154500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GORDON BRIAN | Agent | 4620 N. HIATUS RD., SUNRISE, FL, 33351 |
| Name | Role | Address |
|---|---|---|
| GORDON BRIAN | Manager | 4620 N. HIATUS RD., SUNRISE, FL, 33351 |
| KUCINE SCOTT | Manager | 4620 N. HIATUS RD., SUNRISE, FL, 33351 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000002131 | PROMEDCARESUPPLY.COM | EXPIRED | 2011-01-05 | 2016-12-31 | No data | 4620 N HIATUS RD, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-10-18 | 4620 N. HIATUS RD., SUNRISE, FL 33351 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-10-15 | 4620 N. HIATUS RD., SUNRISE, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2010-10-15 | 4620 N. HIATUS RD., SUNRISE, FL 33351 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000683602 | LAPSED | CACE 10037015 | BROWARD COUNTY COURT | 2011-10-05 | 2016-10-18 | $23.936.55 | INVACARE CORPORATION, 1320 TAYLOR ST., ELYRIA, OH 44035 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-02 |
| Reg. Agent Change | 2010-10-18 |
| ADDRESS CHANGE | 2010-10-15 |
| ANNUAL REPORT | 2010-03-01 |
| ANNUAL REPORT | 2009-04-03 |
| ANNUAL REPORT | 2008-02-13 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-03-30 |
| Florida Limited Liabilites | 2005-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
