| Entity Name: | BRENTWOOD MEDICAL SUPPLIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Date of dissolution: | 22 Nov 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Nov 2023 (a year ago) |
| Document Number: | L22000139260 |
| FEI/EIN Number | 88-1602422 |
| Address: | 1926 Hollywood Blvd Ste #216, hollywood, FL 33020 |
| Mail Address: | 1926 Hollywood Blvd Ste #216, hollywood, FL 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578206231 | 2022-04-19 | 2022-09-09 | 1926 HOLLYWOOD BLVD STE 216, HOLLYWOOD, FL, 330204538, US | 1926 HOLLYWOOD BLVD STE 216, HOLLYWOOD, FL, 330204538, US | |||||||||||||||
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| Phone | +1 954-866-6030 |
| Fax | 9546863789 |
Authorized person
| Name | RACHAEL LEE BUTO |
| Role | PRESIDENT & CEO |
| Phone | 9548666030 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUTO, RACHAEL | Agent | 13052 SW 133RD CT., SECOND FLOOR, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| BUTO, RACHAEL | Authorized Member | 1926 HOLLYWOOD BLVD STE #216, HOLLYWOOD, FL 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-13 | 1926 Hollywood Blvd Ste #216, hollywood, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-13 | 1926 Hollywood Blvd Ste #216, hollywood, FL 33020 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-22 |
| ANNUAL REPORT | 2023-04-21 |
| Florida Limited Liability | 2022-03-21 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
