| Entity Name: | LILLY MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LILLY MEDICAL SUPPLY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Jun 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | P00000053518 |
| FEI/EIN Number |
651013173
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15185 SW 179 AVE, MIAMI, FL, 33175 |
| Mail Address: | 15185 SW 179 AVE, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689691420 | 2006-07-17 | 2008-05-20 | 334 E 9TH ST, HIALEAH, FL, 330104216, US | 334 E 9TH ST, HIALEAH, FL, 330104216, US | |||||||||||||||||||||
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| Phone | +1 305-882-2704 |
| Fax | 3058822706 |
Authorized person
| Name | MRS. MARIA BERGOLLE |
| Role | PRESIDENT |
| Phone | 7867097475 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022991100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERGOLLA MARIA | President | 334 E 9 STREET, HIALEAH, FL, 33010 |
| BERGOLLA MARIA | Director | 334 E 9 STREET, HIALEAH, FL, 33010 |
| BERGOLLA MARIA | Agent | 334 EAST 9 STREET, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-17 | 15185 SW 179 AVE, MIAMI, FL 33175 | - |
| CANCEL ADM DISS/REV | 2010-03-17 | - | - |
| CHANGE OF MAILING ADDRESS | 2010-03-17 | 15185 SW 179 AVE, MIAMI, FL 33175 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-13 | 334 EAST 9 STREET, HIALEAH, FL 33010 | - |
| AMENDMENT | 2000-11-27 | - | - |
| AMENDMENT | 2000-09-06 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2010-03-17 |
| ANNUAL REPORT | 2008-03-13 |
| ANNUAL REPORT | 2007-03-29 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-03-31 |
| ANNUAL REPORT | 2004-04-19 |
| ANNUAL REPORT | 2003-02-18 |
| ANNUAL REPORT | 2002-04-29 |
| ANNUAL REPORT | 2001-02-13 |
| Amendment | 2000-11-27 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
