| Entity Name: | OTB MEDICAL SUPPLIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Aug 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000357504 |
| FEI/EIN Number | 88-3860071 |
| Address: | 2005 W Cypress Creek Rd, SUITE 104A, Fort Lauderdale, FL 33309 |
| Mail Address: | 2005 W Cypress Creek Rd, SUITE 104A, Fort Lauderdale, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124735600 | 2022-11-03 | 2022-11-03 | 2005 W CYPRESS CREEK RD STE 104A, FORT LAUDERDALE, FL, 333091835, US | 2005 W CYPRESS CREEK RD STE 104A, FORT LAUDERDALE, FL, 333091835, US | |||||||||||||
|
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| Phone | +1 954-529-5891 |
Authorized person
| Name | DAVID MONTOYA |
| Role | OWNER |
| Phone | 9545295891 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTOYA, DAVID | Agent | 10516 NW 36th ST, Coral Springs, FL 33065 |
| Name | Role | Address |
|---|---|---|
| MONTOYA, DAVID | Authorized Member | 10516 NW 36th ST, Coral Springs, FL 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-04 | 10516 NW 36th ST, Coral Springs, FL 33065 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-18 | 2005 W Cypress Creek Rd, SUITE 104A, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-18 | 2005 W Cypress Creek Rd, SUITE 104A, Fort Lauderdale, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-04 |
| Florida Limited Liability | 2022-08-15 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
