| Entity Name: | GULFCOAST MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Apr 2001 (24 years ago) |
| Date of dissolution: | 24 Jan 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2007 (18 years ago) |
| Document Number: | P01000035037 |
| FEI/EIN Number | 593710737 |
| Address: | 2455 N MCMULLEN BOOTH ROAD, A, CLEARWATER, FL, 33759, US |
| Mail Address: | PO BOX 16851, CLEARWATER, FL, 33766, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316901259 | 2006-04-17 | 2020-08-22 | PO BOX 16851, CLEARWATER, FL, 337666851, US | 2455 N MCMULLEN BOOTH RD, SUITE A, CLEARWATER, FL, 337591358, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-791-7404 |
| Fax | 7277122220 |
Authorized person
| Name | JON R DODDS |
| Role | PRESIDENT |
| Phone | 7277917404 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | HME 1411 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32-04508 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DODDS JON R | Agent | 2455 N MCMULLEN BOOTH ROAD, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| DODDS JON R | President | 2455 N MCMULLEN BOOTH ROAD, SUITE A, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| DODDS DORIS A | Vice President | 2455 N MCMULLEN BOOTH ROAD, SUITE A, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-01-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-27 | 2455 N MCMULLEN BOOTH ROAD, A, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-27 | 2455 N MCMULLEN BOOTH ROAD, A, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-27 | 2455 N MCMULLEN BOOTH ROAD, A, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2007-01-24 |
| ANNUAL REPORT | 2006-04-27 |
| ANNUAL REPORT | 2005-04-27 |
| ANNUAL REPORT | 2004-04-26 |
| ANNUAL REPORT | 2003-05-01 |
| ANNUAL REPORT | 2002-05-23 |
| Domestic Profit | 2001-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
