| Entity Name: | MEDLIFE SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Sep 2020 (4 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: | L20000277507 |
| Address: | 1495 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 1495 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043827694 | 2020-09-28 | 2020-09-28 | 1495 FOREST HILL BLVD STE C1, WEST PALM BEACH, FL, 334066073, US | 1495 FOREST HILL BLVD STE C1, WEST PALM BEACH, FL, 334066073, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 877-401-2142 |
| Fax | 5617703593 |
Authorized person
| Name | RUSSELL JAMES INGRAM III |
| Role | OWNER |
| Phone | 8774012142 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NUNEZ JANDY | Agent | 1495 FOREST HILL BLVD #C1, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NUNEZ JANDY | Manager | 790 E 51ST ST, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-22 | RODRIGUEZ NUNEZ, JANDY | No data |
| LC AMENDMENT | 2020-12-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-22 | 1495 FOREST HILL BLVD #C1, WEST PALM BEACH, FL 33406 | No data |
| LC AMENDMENT | 2020-12-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-05 | 1495 FOREST HILL BLVD, STE C1, WEST PALM BEACH, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-23 | 1495 FOREST HILL BLVD, STE C1, WEST PALM BEACH, FL 33406 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2020-12-22 |
| LC Amendment | 2020-12-17 |
| Florida Limited Liability | 2020-09-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
