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SPARK MEDICAL SUPPLY LLC - Florida Company Profile

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Company Details

Entity Name: SPARK MEDICAL SUPPLY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 28 Mar 2019 (6 years ago)
Date of dissolution: 23 Jun 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Jun 2021 (4 years ago)
Document Number: L19000085848
FEI/EIN Number 83-4193731
Address: 3175 S CONGRESS AVE, SUITE 305-D, PALM SPRINGS, FL, 33461, US
Mail Address: 3175 S CONGRESS AVE, SUITE 305-D, PALM SPRINGS, FL, 33461, US
ZIP code: 33461
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NUSSBAUM MICHAEL S Manager 5201 VAN BUREN RD, DELRAY BEACH, FL, 33484
KING COLTON Agent 5722 LAKE GEORGE PL, LAKE WORTH, FL, 33463

National Provider Identifier

NPI Number:
1083274112
Certification Date:
2020-03-12

Authorized Person:

Name:
MICHAEL NUSSBAUM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-06-23 - -
CHANGE OF PRINCIPAL ADDRESS 2019-12-06 3175 S CONGRESS AVE, SUITE 305-D, PALM SPRINGS, FL 33461 -
CHANGE OF MAILING ADDRESS 2019-12-06 3175 S CONGRESS AVE, SUITE 305-D, PALM SPRINGS, FL 33461 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-06-23
ANNUAL REPORT 2020-06-08
Florida Limited Liability 2019-03-28

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Date of last update: 03 Jul 2025

Sources: Florida Department of State