| Entity Name: | ADK MEDICAL SUPPLY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Feb 2009 (16 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L09000013783 |
| FEI/EIN Number | 264236309 |
| Address: | 5203 N ARMENIA AVE, TAMPA, FL, 33603 |
| Mail Address: | 5203 N ARMENIA AVE, TAMPA, FL, 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326271362 | 2009-08-25 | 2013-08-02 | 5203 N ARMENIA AVE, TAMPA, FL, 336031407, US | 5203 N. ARMENIA AVE, TAMPA, FL, 336032626, US | |||||||||||||||||||||
|
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| Phone | +1 813-876-5253 |
| Fax | 8138765289 |
Authorized person
| Name | MR. IVAN CARO |
| Role | PRESIDENT |
| Phone | 8138765253 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003084900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARO IVAN | Agent | 6425 AMUNDSON ST, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| CARO IVAN | Manager | 6425 AMUNDSON ST, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-10 | 6425 AMUNDSON ST, TAMPA, FL 33634 | No data |
| LC AMENDMENT | 2013-07-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-05 | 5203 N ARMENIA AVE, TAMPA, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2013-07-05 | 5203 N ARMENIA AVE, TAMPA, FL 33603 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15001130372 | ACTIVE | 1000000699072 | HILLSBOROU | 2015-12-10 | 2025-12-17 | $ 843.94 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-10 |
| LC Amendment | 2013-07-05 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-02-18 |
| ANNUAL REPORT | 2010-03-12 |
| ADDRESS CHANGE | 2009-08-06 |
| ADDRESS CHANGE | 2009-08-04 |
| Florida Limited Liability | 2009-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
