| Entity Name: | SEVENTEEN MEDICAL SUPPLY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 May 2023 (2 years ago) |
| Document Number: | L23000251582 |
| FEI/EIN Number | 93-1515794 |
| Mail Address: | 6801 Lake Worth Rd, Greenacres, FL, 33467, US |
| Address: | 6801 LAKE WORTH RD, GREENACRES, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457044406 | 2023-05-26 | 2023-06-02 | 6801 LAKE WORTH RD STE 126, GREENACRES, FL, 334672971, US | 6801 LAKE WORTH RD STE 126, GREENACRES, FL, 334672971, US | |||||||||||||
|
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| Phone | +1 561-408-4324 |
Authorized person
| Name | ALEIXIS ACOSTA |
| Role | OWNER |
| Phone | 5619853152 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACOSTA ALEIXIS | Agent | 6801 LAKE WORTH RD, GREENACRES, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ACOSTA ALEIXIS | Authorized Member | 6801 LAKE WORTH RD, GREENACRES, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-23 | 6801 LAKE WORTH RD, SUITE 126, GREENACRES, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-23 | 6801 LAKE WORTH RD, SUITE 126, GREENACRES, FL 33467 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-23 | ACOSTA, ALEIXIS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-23 | 6801 LAKE WORTH RD, SUITE 126, GREENACRES, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| Florida Limited Liability | 2023-05-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
