| Entity Name: | MEGA MEDICAL SUPPLY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Feb 2014 (11 years ago) |
| Document Number: | L12000026233 |
| FEI/EIN Number | 454607635 |
| Address: | 4910 DYER BLVD, SUITE 3, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 4910 DYER BLVD, SUITE 3, WEST PALM BEACH, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447637160 | 2015-05-01 | 2022-11-16 | 4910 DYER BLVD, RIVIERA BEACH, FL, 334071009, US | 4910 DYER BLVD, RIVIERA BEACH, FL, 334071009, US | |||||||||||||||||||
|
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| Phone | +1 561-840-6566 |
Authorized person
| Name | ALAN LYCAN |
| Role | PRESIDENT |
| Phone | 5618406566 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650188501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LYCAN ALAN | Agent | 4910 DYER BLVD, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| LYCAN ALAN | Managing Member | 4910 DYER BLVD, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| LYCAN HECTOR | Auth | 4910 DYER BLVD, WEST PALM BEACH, FL, 33407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000119710 | MEGA MEDICAL SUPPLIES | ACTIVE | 2018-11-07 | 2028-12-31 | No data | 4910 DYER BLVD, RIVIERA BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-03 | 4910 DYER BLVD, SUITE 3, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-03 | 4910 DYER BLVD, SUITE 3, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-03 | 4910 DYER BLVD, SUITE 3, WEST PALM BEACH, FL 33407 | No data |
| REINSTATEMENT | 2014-02-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
