| Entity Name: | MR. MOBILITY MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 2000 (25 years ago) |
| Document Number: | P00000037073 |
| FEI/EIN Number | 593643142 |
| Address: | 1520 14TH ST., LEESBURG, FL, 34748, US |
| Mail Address: | 13 Starlight Dr, Ormond Beach, FL, 32176, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720035801 | 2006-05-27 | 2008-06-30 | 1323 S 14TH ST, LEESBURG, FL, 347486600, US | 1323 S 14TH ST, LEESBURG, FL, 347486600, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-323-8585 |
| Fax | 3523234802 |
Authorized person
| Name | MR. HENRY STANLEY ZMYJ |
| Role | OWNER |
| Phone | 3523238585 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1057 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | R9210 |
| State | FL |
| Issuer | MEDICAID |
| Number | 022471500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZMYJ Tami | Agent | 13 Starlight Dr., Ormond Beach, FL, 32176 |
| Name | Role | Address |
|---|---|---|
| ZMYJ Tami | President | 13 Starlight Dr, Ormond Beach, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-09-08 | ZMYJ, Tami | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-24 | 1520 14TH ST., LEESBURG, FL 34748 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-08 | 13 Starlight Dr., Ormond Beach, FL 32176 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-24 | 1520 14TH ST., LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-22 |
| AMENDED ANNUAL REPORT | 2021-09-08 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
