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HEALTH PARK MEDICAL SUPPLY, LLC - Florida Company Profile

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Company Details

Entity Name: HEALTH PARK MEDICAL SUPPLY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Jan 2009 (17 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 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
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JACOBS SANDRA Manager 3126 MAGNOLIA ROAD, ORANGE PARK, FL, 32065
- Manager -
JACOBS SANDRA Agent 3126 MAGNOLIA ROAD, ORANGE PARK, FL, 32065

National Provider Identifier

NPI Number:
1346574670

Authorized Person:

Name:
MR. BRYAN K JACOBS
Role:
DIRECTOR/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
9042642067

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Documents

Name Date
Florida Limited Liability 2009-01-27

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Date of last update: 02 Jul 2025

Sources: Florida Department of State