| Entity Name: | HEALTH PARK MEDICAL SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jan 2009 (16 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: | L09000008887 |
| Address: | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| Mail Address: | 1892 BELLAIR BLVD, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346574670 | 2009-09-18 | 2009-09-18 | 1892 BELLAIR BLVD, ORANGE PARK, FL, 320734548, US | 1892 BELLAIR BLVD, ORANGE PARK, FL, 320734548, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-541-0207 |
| Fax | 9042642067 |
Authorized person
| Name | MR. BRYAN K JACOBS |
| Role | DIRECTOR/MANAGER |
| Phone | 9045410207 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACOBS SANDRA | Agent | 3126 MAGNOLIA ROAD, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| HEALTH PARK FOOT & ANKLE ASSOCIATES, INC. | Manager | No data |
| JACOBS SANDRA | Manager | 3126 MAGNOLIA ROAD, ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2009-01-27 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
