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EDEN MEDICAL SUPPLY LLC - Florida Company Profile

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Company Details

Entity Name: EDEN MEDICAL SUPPLY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Jun 2022 (3 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 14 Jun 2022 (3 years ago)
Document Number: L22000270338
FEI/EIN Number 85-1380012
Address: 7300 N. Federal Hwy Suite 102, BOCA RATON, FL, 33487, US
Mail Address: 7300 N. Federal Hwy Suite 102, BOCA RATON, FL, 33487, US
ZIP code: 33487
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MASCIARELLA MICHAEL Manager 770 NE 69TH STREET, BOCA RATON, FL, 33487
ALARCON SCOTT Manager 770 NE 69TH STREET, BOCA RATON, FL, 33487
ALARCON TRISTIAN Manager 355 E OHIO STREET #3209, CHICAGO, IL, 60611
ALARCON KATHY Manager 7300 N. Federal Hwy Suite 102, BOCA RATON, FL, 33487
MASCIARELLA MICHAEL Agent 770 NE 69TH STREET, BOCA RATON, FL, 33487

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
MICHAEL MASCIARELLA
User ID:
P3193787

Unique Entity ID

Unique Entity ID:
RAMCDW5F7482
CAGE Code:
9PNH9
UEI Expiration Date:
2026-04-04

Business Information

Activation Date:
2025-04-08
Initial Registration Date:
2023-08-22

Commercial and government entity program

CAGE number:
9PNH9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-08
CAGE Expiration:
2030-04-08
SAM Expiration:
2026-04-04

Contact Information

POC:
MICHAEL MASCIARELLA

National Provider Identifier

NPI Number:
1598381212
Certification Date:
2024-04-01

Authorized Person:

Name:
MR. MICHAEL MASCIARELLA
Role:
DIRECTOR OF BUSINESS DEVELOPMENT/CE
Phone:

Taxonomy:

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

Contacts:

Fax:
8665893366

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 7300 N. Federal Hwy Suite 102, BOCA RATON, FL 33487 -
CHANGE OF MAILING ADDRESS 2023-01-23 7300 N. Federal Hwy Suite 102, BOCA RATON, FL 33487 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 770 NE 69TH STREET, BOCA RATON, FL 33487 -
CONVERSION 2022-06-14 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 700000227377
LC AMENDMENT AND NAME CHANGE 2022-06-14 EDEN MEDICAL SUPPLY LLC -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-23
Florida Limited Liability 2022-06-14
LC Amendment and Name Change 2022-06-14

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Date of last update: 03 Aug 2025

Sources: Florida Department of State