| Entity Name: | MEDISOURCE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2011 (14 years ago) |
| Date of dissolution: | 09 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jan 2020 (5 years ago) |
| Document Number: | L11000008907 |
| FEI/EIN Number | 274616631 |
| Address: | 325 FENTON ROAD, SW, PALM BAY, FL, 32908, UN |
| Mail Address: | P.O.BOX 101363, PALM BAY, FL, 32910, UN |
| ZIP code: | 32908 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457788085 | 2013-09-27 | 2013-09-27 | 325 FENTON RD SW, PALM BAY, FL, 329084882, US | 325 FENTON RD SW, PALM BAY, FL, 329084882, US | |||||||||||||||||||
|
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| Phone | +1 321-506-5688 |
| Fax | 8883200905 |
Authorized person
| Name | KEVAN ALLAIRE SR. |
| Role | OWNER |
| Phone | 3215065688 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 1374 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLAIRE KEVAN E | Agent | 325 FENTON ROAD, SW, PALM BAY, FL, 32908 |
| Name | Role | Address |
|---|---|---|
| ALLAIRE KEVAN E | Managing Member | 325 FENTON ROAD, SW, PALM BAY, FL, 32908 |
| Name | Role | Address |
|---|---|---|
| HERRIAN NANCY A | Manager | 1712 UNIVERSITY LANE #304, COCOA, FL, 32922 |
| CORREIA DIANE J | Manager | 853 BIANCA DRIVE, NE, PALM BAY, FL, 32905 |
| BURMEISTER RUDOLPH C | Manager | 2359 PORT MALABAR ROAD, NE, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-09 | No data | No data |
| LC AMENDMENT | 2013-12-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-18 | 325 FENTON ROAD, SW, PALM BAY, FL 32908 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-18 | 325 FENTON ROAD, SW, PALM BAY, FL 32908 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-18 | 325 FENTON ROAD, SW, PALM BAY, FL 32908 UN | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-18 | ALLAIRE, KEVAN E | No data |
| LC AMENDMENT | 2011-04-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-09 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-02-17 |
| ANNUAL REPORT | 2017-02-19 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-18 |
| ANNUAL REPORT | 2014-02-02 |
| CORLCMMRES | 2013-12-02 |
| LC Amendment | 2013-12-02 |
| ANNUAL REPORT | 2013-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
