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ENCORE MEDICAL SUPPLY, LLC

Company Details

Entity Name: ENCORE MEDICAL SUPPLY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jan 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Oct 2024 (4 months ago)
Document Number: L22000013871
FEI/EIN Number 87-4402874
Address: 1515 North University Drive, CORAL SPRINGS, FL, 33071, US
Mail Address: 1515 North University Drive, CORAL SPRINGS, FL, 33071, US
ZIP code: 33071
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427706308 2022-03-10 2022-03-23 1515 N UNIVERSITY DR STE 115, CORAL SPRINGS, FL, 330716084, US 1515 N UNIVERSITY DR STE 115, CORAL SPRINGS, FL, 330716084, US

Contacts

Phone +1 954-281-8222

Authorized person

Name CLINT PASALODOS
Role MANAGING MEMBER
Phone 9542818222

Taxonomy

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

Agent

Name Role Address
SIEGEL ALEXANDER D Agent 12246 NW 11th Street, Pembroke Pines, FL, 33026

Manager

Name Role Address
SIEGEL ALEXANDER Manager 5510 NW Broken Sound Blvd, BOCA RATON, FL, 33487
PADILLA VICTOR Manager 12246 NW 11TH STREET, PEMBROKE PINES, FL, 33026

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-15 No data No data
REGISTERED AGENT NAME CHANGED 2024-10-15 SIEGEL, ALEXANDER DRAKE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 12246 NW 11th Street, Pembroke Pines, FL 33026 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-28 1515 North University Drive, #115, CORAL SPRINGS, FL 33071 No data
CHANGE OF MAILING ADDRESS 2022-04-28 1515 North University Drive, #115, CORAL SPRINGS, FL 33071 No data

Documents

Name Date
REINSTATEMENT 2024-10-15
ANNUAL REPORT 2023-01-30
Florida Limited Liability 2022-01-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State