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NATIONAL SUPPLY GROUP LLC

Company Details

Entity Name: NATIONAL SUPPLY GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Aug 2020 (4 years ago)
Document Number: L20000267266
FEI/EIN Number 85-2738784
Address: 621 NW 53rd Street, Suite 125, BOCA RATON, FL, 33487, US
Mail Address: 621 NW 53rd Street, Suite 125, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801409727 2020-08-29 2020-10-26 4401 N DIXIE HWY, BOCA RATON, FL, 334315028, US 4401 N DIXIE HWY, BOCA RATON, FL, 334315028, US

Contacts

Phone +1 800-496-3534
Phone +1 347-441-8559

Authorized person

Name MICHAEL HENDERSON
Role MEMBER MANAGER
Phone 3474418559

Taxonomy

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

Agent

Name Role
THE SKEEN LAW GROUP, P.A. Agent

Manager

Name Role Address
DZHURAYEV IGOR Manager 621 NW 53RD STREET, SUITE 125, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-21 THE SKEEN LAW GROUP P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-21 2450 Hollywood Blvd Ste 105, Hollywood, FL 33020 No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-26 621 NW 53rd Street, Suite 125, BOCA RATON, FL 33487 No data
CHANGE OF MAILING ADDRESS 2023-01-26 621 NW 53rd Street, Suite 125, BOCA RATON, FL 33487 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-07-22
ANNUAL REPORT 2021-03-08
Florida Limited Liability 2020-08-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State