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  5. DIABETIC SOLUTIONS, INC.

DIABETIC SOLUTIONS, INC.

Company Details

Entity Name: DIABETIC SOLUTIONS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2000 (24 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Feb 2017 (8 years ago)
Document Number: P00000094100
FEI/EIN Number 651046809
Address: 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US
Mail Address: 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487605093 2006-05-16 2024-02-26 10301 W SAMPLE RD, CORAL SPRINGS, FL, 330653941, US 10301 W SAMPLE RD, CORAL SPRINGS, FL, 330653941, US

Contacts
Phone +1 954-346-7759
Fax 9547572653

Authorized person
Name MS. ROBIN L MENCHEN
Role CHIEF EXECUTIVE OFFICER
Phone 4078224600

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH25775
State FL
Is Primary Yes
Taxonomy Code 3336M0002X - Mail Order Pharmacy
Is Primary No

Other Provider Identifiers
Issuer PK
Number 2007732
Issuer MEDICAID
Number 117151501
State FL
Issuer MEDICAID
Number 117151500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2023 651046809 2024-06-12 DIABETIC SOLUTIONS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2022 651046809 2023-03-25 DIABETIC SOLUTIONS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2021 651046809 2022-05-17 DIABETIC SOLUTIONS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2020 651046809 2021-07-11 DIABETIC SOLUTIONS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2019 651046809 2020-04-23 DIABETIC SOLUTIONS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2018 651046809 2019-03-24 DIABETIC SOLUTIONS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2017 651046809 2018-07-01 DIABETIC SOLUTIONS, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2017 651046809 2018-07-14 DIABETIC SOLUTIONS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2016 651046809 2017-05-28 DIABETIC SOLUTIONS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
DIABETIC SOLUTIONS, INC. 401(K) PLAN 2015 651046809 2016-05-30 DIABETIC SOLUTIONS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446190
Sponsor’s telephone number 9543467759
Plan sponsor’s address 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065

Agent

Name Role
C T CORPORATION SYSTEM Agent

President

Name Role Address
Menchen Robin President 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809

Secretary

Name Role Address
Burres Steve Secretary 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809

Chief Financial Officer

Name Role Address
Phan Nam Chief Financial Officer 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000062490 ROTECH PHARMACY SOLUTIONS ACTIVE 2023-05-18 2028-12-31 No data 3600 VINELAND ROAD, SUITE 114, ORLANDO, FL, 32811
G17000024625 SUNSHINE STATE PHARMACY ACTIVE 2017-03-08 2027-12-31 No data 10301 WEST SAMPLE ROAD, CORAL SPRINGS, FL, 33065
G11000051508 SUNSHINE STATE PHARMACY, INC. EXPIRED 2011-06-01 2016-12-31 No data 10301 WEST SAMPLE RD., CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-22 6251 Chancellor Drive, Suite 119, Orlando, FL 32809 No data
CHANGE OF MAILING ADDRESS 2024-04-22 6251 Chancellor Drive, Suite 119, Orlando, FL 32809 No data
REGISTERED AGENT NAME CHANGED 2023-03-31 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-31 1200 SOUTH PINE ISLAND ROAD, Plantation, FL 33324 No data
AMENDMENT 2017-02-02 No data No data
AMENDMENT 2007-04-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
AMENDED ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-18
ANNUAL REPORT 2018-01-22
Amendment 2017-02-02
ANNUAL REPORT 2017-01-20

Related by officers

Menchen Robin

MY DME DOC LLC PHYSICIANS CHOICE RESPIRATORY SERVICES, INC.

Phan Nam

HOME MEDICAL SYSTEMS, INC. NAM PHAN PHOTOGRAPHY, LLC SWP AND COMPANY, LLC MY DME DOC LLC SHOPROTECH, INC. BIORESOLUTIONS LLC VETERANS CHOICE MEDICAL EQUIPMENT, LLC ROTECH HEALTHCARE INC. TUPELO HOME HEALTH, INC. RN HOME CARE MEDICAL EQUIPMENT COMPANY, INC.

Related by address

6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US

MY DME DOC LLC PHYSICIANS CHOICE RESPIRATORY SERVICES, INC.

6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US

MY DME DOC LLC PHYSICIANS CHOICE RESPIRATORY SERVICES, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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