| Entity Name: | PARKER HEALTHCARE PRODUCTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Apr 2001 (24 years ago) |
| Date of dissolution: | 08 Oct 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Oct 2014 (10 years ago) |
| Document Number: | P01000038806 |
| FEI/EIN Number | 59-3713490 |
| Address: | 1112 W-NEW HAVEN AVE, MELBOURNE, FL 32904 |
| Mail Address: | 1112 W-NEW HAVEN AVE, MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790747822 | 2006-04-04 | 2007-07-24 | 1112 W NEW HAVEN AVE, MELBOURNE, FL, 329044056, US | 1112 W NEW HAVEN AVE, MELBOURNE, FL, 329044056, US | |||||||||||||||||||||||||
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| Phone | +1 321-956-4000 |
| Fax | 3217260972 |
Authorized person
| Name | MR. SHAWN PARKER |
| Role | PRESIDENT |
| Phone | 3219564000 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 1452 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | R9714 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARKER, SHAWN | Agent | 1903 S ATLANTIC ST, MELBOURNE BEACH, FL 32951 |
| Name | Role | Address |
|---|---|---|
| PARKER, SHAWN | President | 1903 S. ATLANTIC ST., UNIT 212, MELBOURNE BCH, FL 32951 |
| Name | Role | Address |
|---|---|---|
| PARKER, TIMOTHY | Vice President | 340 BAHAMA DR, INDIALANTIC, FL 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-10-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 1112 W-NEW HAVEN AVE, MELBOURNE, FL 32904 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-06 | 1112 W-NEW HAVEN AVE, MELBOURNE, FL 32904 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-03-06 | PARKER, SHAWN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-06 | 1903 S ATLANTIC ST, MELBOURNE BEACH, FL 32951 | No data |
| NAME CHANGE AMENDMENT | 2003-07-29 | PARKER HEALTHCARE PRODUCTS, INC. | No data |
| NAME CHANGE AMENDMENT | 2003-05-23 | PARKER MEDICAL SUPPLY, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-10-08 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-05-04 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-01-19 |
| ANNUAL REPORT | 2009-02-26 |
| ANNUAL REPORT | 2008-03-25 |
| ANNUAL REPORT | 2007-03-01 |
| ANNUAL REPORT | 2006-03-06 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
