Entity Name: | MIAMI DURABLE MEDICAL EQUIPMENT INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 25 May 1990 (35 years ago) |
Document Number: | L76645 |
FEI/EIN Number | 650194954 |
Address: | 4699 SW 72 Ave., MIAMI, FL, 33155, US |
Mail Address: | 4699 SW 72 Ave., MIAMI, FL, 33155, US |
ZIP code: | 33155 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922084698 | 2005-12-15 | 2023-10-05 | 4699 SW 72ND AVE, MIAMI, FL, 331554540, US | 4699 SW 72ND AVE, MIAMI, FL, 331554540, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 305-663-6446 |
Fax | 3056635539 |
Authorized person
Name | LUIS MANUEL RAMIREZ |
Role | PRESIDENT/CEO |
Phone | 3056636446 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 32 |
State | FL |
Is Primary | No |
Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
License Number | 32 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 027554900 |
State | FL |
Name | Role | Address |
---|---|---|
RAMIREZ LUIS M | Agent | 4699 SW 72 Ave., MIAMI, FL, 33155 |
Name | Role | Address |
---|---|---|
RAMIREZ LUIS M | Director | 4699 SW 72 Ave., MIAMI, FL, 33155 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000000711 | RESTORE ORTHOTICS AND PROSTHETICS | ACTIVE | 2024-01-03 | 2029-12-31 | No data | 4699 SW 72 AVE, MIAMI, FL, 33155 |
G12000107481 | RESTORE ORTHOTICS & PROSTHETICS | EXPIRED | 2012-11-06 | 2017-12-31 | No data | 4699 SW 72 AVE., MIAMI, FL, 33155 |
G12000038424 | MDME BRACING AND PROSTHETICS | EXPIRED | 2012-04-23 | 2017-12-31 | No data | 4699 SW 72 AVE., MIAMI, FL, 33155 |
G08079900239 | MDME BRACING & ORTHOTICS | EXPIRED | 2008-03-19 | 2013-12-31 | No data | 7081 S.W. 47TH ST., MIAMI, FL, 33155 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2002-09-18 | No data | No data |
REINSTATEMENT | 1995-10-16 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State