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SPARTAN MEDICAL SUPPLY, LLC - Florida Company Profile

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Company Details

Entity Name: SPARTAN MEDICAL SUPPLY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jul 2024 (a year ago)
Document Number: L24000334725
FEI/EIN Number 994542327
Address: 3006 AVIATION AVE, STE 3A, COCONUT GROVE, FL, 33133, US
Mail Address: 3006 AVIATION AVE, STE 3A, COCONUT GROVE, FL, 33133, US
ZIP code: 33133
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SWARZAK VITO Manager 333 N UNIVERSITY DRIVE #525, PLANTATION, FL, 33334
GONZALEZ DESI E Manager 2476 NW 186 AVENUE, PEMBROKE PINES, FL, 33029
BANOS MACHADO JAVIER Agent 3006 AVIATION AVE, COCONUT GROVE, FL, 33133

National Provider Identifier

NPI Number:
1295352078
Certification Date:
2021-02-08

Authorized Person:

Name:
JENNIFER ASEMOTA
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-22
Florida Limited Liability 2024-07-29

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Date of last update: 02 Aug 2025

Sources: Florida Department of State