| Entity Name: | ULTIMATE DME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jul 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000171682 |
| Address: | 7021 GRAND NATIONAL DRIVE, SUITE 108, ORLANDO, FL, 32819 |
| Mail Address: | 7021 GRAND NATIONAL DRIVE, SUITE 108, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316425325 | 2018-08-01 | 2018-08-01 | 7021 GRAND NATIONAL DR, ORLANDO, FL, 328198985, US | 7021 GRAND NATIONAL DR STE 108, ORLANDO, FL, 328198986, US | |||||||||||||||||||||
|
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| Phone | +1 407-630-6188 |
Authorized person
| Name | WILLIAM NOVACK |
| Role | MANAGING MEMBER |
| Phone | 4073679149 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 332B00000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOVACK WILLIAM K | Agent | 8137 CHILTON DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| NOVACK WILLIAM K | Manager | 8137 CHILTON DR, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-07-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
