| Entity Name: | PORTABLE HOME RESPIRATORY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Aug 1990 (34 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L95805 |
| FEI/EIN Number | 65-0213528 |
| Address: | 4990 S.W. 52ND ST., STE 211, FT. LAUDERDALE, FL 33314 |
| Mail Address: | 4990 SW 52ND ST, SUITE 211, FT. LAUDERDALE, FL 33314 |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790903268 | 2007-04-23 | 2007-12-12 | 4990 SW 52ND STREET, SUITE 211, FT LAUDERDALE, FL, 333145520, US | 4990 SW 52ND STREET, SUITE 211, FT LAUDERDALE, FL, 333145520, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 800-768-0336 |
| Fax | 9544527774 |
Authorized person
| Name | MS. EDITH E SELBY |
| Role | OWNER OFFICER |
| Phone | 8007680336 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 591 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 3300368 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | R6339 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SELBY, EDITH | Agent | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| SELBY, EDITH | Director | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| SELBY, WILLIAM | Director | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| SELBY, EDITH | Secretary | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| SELBY, EDITH | Treasurer | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| SELBY, WILLIAM | President | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-29 | SELBY, EDITH | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-05-20 | 4990 S.W. 52ND ST., STE 211, FT. LAUDERDALE, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 1996-05-01 | 4990 S.W. 52ND ST., STE 211, FT. LAUDERDALE, FL 33314 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1992-07-02 | 470 SW PETERSBURG TERR, PLANTATION, FL 33325 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-05-02 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-05-03 |
| ANNUAL REPORT | 2004-04-21 |
| ANNUAL REPORT | 2003-05-01 |
| ANNUAL REPORT | 2002-05-23 |
| ANNUAL REPORT | 2001-05-10 |
| ANNUAL REPORT | 2000-05-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
