| Entity Name: | SUPREME HEALTHCARE SUPPLY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUPREME HEALTHCARE SUPPLY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Jul 2014 (11 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L14000119137 |
| FEI/EIN Number |
47-3379633
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6043 NW 167th Street, Suite A-1, Miami, FL, 33015, US |
| Mail Address: | 6043 NW 167th Street, Suite A-1, Miami, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871901322 | 2014-07-29 | 2016-09-13 | 1035 NE 125TH ST, 301, NORTH MIAMI, FL, 331615820, US | 1035 NE 125TH ST, 301, NORTH MIAMI, FL, 331615820, US | |||||||||||||||||||||||||
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| Phone | +1 305-859-3350 |
| Fax | 3059282535 |
Authorized person
| Name | MR. IVAN E RUIZ-OTERO |
| Role | OWNER |
| Phone | 3058593350 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | PED218 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 7544650001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUIZ-OTERO IVAN E | Authorized Member | 20225 NE 34TH CT., AVENTURA, FL, 33180 |
| RUIZ-OTERO IVAN E | Agent | 6043 NW 167th Street, Miami, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| LC DISSOCIATION MEM | 2020-09-08 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 6043 NW 167th Street, Suite A-1, Miami, FL 33015 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 6043 NW 167th Street, Suite A-1, Miami, FL 33015 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 6043 NW 167th Street, Suite A-1, Miami, FL 33015 | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | RUIZ-OTERO, IVAN E | - |
| REINSTATEMENT | 2019-10-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| LC AMENDMENT | 2018-01-16 | - | - |
| LC AMENDMENT | 2015-06-19 | - | - |
| Name | Date |
|---|---|
| CORLCDSMEM | 2020-09-08 |
| ANNUAL REPORT | 2020-06-30 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-03-28 |
| LC Amendment | 2018-01-16 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-31 |
| LC Amendment | 2015-06-19 |
| ANNUAL REPORT | 2015-04-27 |
| CORLCDSMEM | 2015-01-16 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
