| Entity Name: | COMFORT LIFE MEDICAL SUPPLIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Dec 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L08000113813 |
| FEI/EIN Number | 263888055 |
| Address: | 4028 N. OCEAN BLVD, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 706 N.E. 26TH AVENUE, HALLANDALE BEACH, FL, 33009 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336381854 | 2009-03-30 | 2012-04-30 | 706 NE 26TH AVE, HALLANDALE BEACH, FL, 330092941, US | 4028 N OCEAN BLVD, FORT LAUDERDALE, FL, 333086420, US | |||||||||||||||||||||
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| Phone | +1 954-564-3381 |
| Fax | 9545643386 |
Authorized person
| Name | MRS. MIRRA KERN |
| Role | GENERAL MANAGER |
| Phone | 9545643381 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 6465110001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MIRRA KERN | Agent | 4028 N. OCEAN BLVD, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| KERN MIRRA | Manager | 706 N.E. 26TH AVENUE, HALLANDALE BEACH, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| BRENER ZAKHAR | President | 2435 E71 STREET, BROOKLYN,, NY, 112234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-09 | 4028 N. OCEAN BLVD, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-06-09 | 4028 N. OCEAN BLVD, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-15 | MIRRA KERN | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14001141935 | TERMINATED | 1000000637249 | BROWARD | 2014-07-24 | 2034-12-17 | $ 5,379.97 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J14000331966 | TERMINATED | 1000000591708 | BROWARD | 2014-03-05 | 2034-03-13 | $ 556.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-06-09 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-09-27 |
| ANNUAL REPORT | 2010-05-15 |
| Florida Limited Liability | 2008-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
