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MIAMI DURABLE MEDICAL EQUIPMENT INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
RAMIREZ LUIS M Agent 4699 SW 72 Ave., MIAMI, FL, 33155

Director

Name Role Address
RAMIREZ LUIS M Director 4699 SW 72 Ave., MIAMI, FL, 33155

Fictitious Names

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

Events

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