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BLUELINE MEDICAL SUPPLY LLC

Company Details

Entity Name: BLUELINE MEDICAL SUPPLY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 Jun 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000170220
FEI/EIN Number 85-1604731
Address: 2061 NW 2ND AVE, STE 102, BOCA RATON, FL, 33431, US
Mail Address: 2061 NW 2ND AVE, STE 102, BOCA RATON, FL, 33431, US
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558988824 2020-07-02 2020-11-23 2061 NW 2ND AVE STE 102, BOCA RATON, FL, 334316774, US 2061 NW 2ND AVE STE 102, BOCA RATON, FL, 334316774, US

Contacts

Phone +1 561-571-6042

Authorized person

Name GERSON PETIGNY
Role OWNER
Phone 5615716042

Taxonomy

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

Agent

Name Role Address
PETIGNY GERSON Agent 2061 NW 2ND AVE, STE 102, BOCA RATON, FL, 33431

Manager

Name Role Address
PETIGNY GERSON Manager 2061 NW 2ND AVE, STE 102, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
LC AMENDMENT 2020-11-10 No data No data
REGISTERED AGENT NAME CHANGED 2020-11-10 PETIGNY, GERSON No data
REGISTERED AGENT ADDRESS CHANGED 2020-11-10 2061 NW 2ND AVE, STE 102, BOCA RATON, FL 33431 No data
AMENDMENT 2020-07-13 No data No data

Documents

Name Date
ANNUAL REPORT 2021-04-28
LC Amendment 2020-11-10
Amendment 2020-07-13
Florida Limited Liability 2020-06-24

Date of last update: 01 Feb 2025

Sources: Florida Department of State