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MD HEALTH SUPPORT, LLC

Company Details

Entity Name: MD HEALTH SUPPORT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 13 Feb 2019 (6 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: L19000044135
FEI/EIN Number 83-3429915
Address: 399 NW 2ND AVE, #214, BOCA RATON, FL 33432
Mail Address: 399 NW 2ND AVE, #214, BOCA RATON, FL 33432
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336601079 2019-04-02 2020-06-11 399 NW 2ND AVE STE 214, BOCA RATON, FL, 334323848, US 399 NW 2ND AVE STE 214, BOCA RATON, FL, 334323848, US

Contacts

Phone +1 800-510-4812

Authorized person

Name JONATHAN GRULLON
Role OWNER
Phone 8005104812

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
Grullon, Jonathan Agent 399 NW 2ND AVE, #214, BOCA RATON, FL 33432

Manager

Name Role Address
Grullon, Jonathan Manager 399 NW 2ND AVE, #214, BOCA RATON, FL 33432
Rivera, Antonio Manager 399 NW 2ND AVE, #214, BOCA RATON, FL 33432

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2020-05-27 Grullon, Jonathan No data
REGISTERED AGENT ADDRESS CHANGED 2020-05-27 399 NW 2ND AVE, #214, BOCA RATON, FL 33432 No data
CHANGE OF PRINCIPAL ADDRESS 2019-10-29 399 NW 2ND AVE, #214, BOCA RATON, FL 33432 No data
CHANGE OF MAILING ADDRESS 2019-10-29 399 NW 2ND AVE, #214, BOCA RATON, FL 33432 No data

Documents

Name Date
ANNUAL REPORT 2020-05-27
Florida Limited Liability 2019-02-13

Date of last update: 17 Jan 2025

Sources: Florida Department of State