| Entity Name: | UNITY RESPIRATORY AND DIABETIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jun 2001 (24 years ago) |
| Document Number: | P01000064738 |
| FEI/EIN Number | 651118275 |
| Address: | 4200 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | 3280-55A TAMIAMI TRAIL, PMB 285, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386634780 | 2005-10-26 | 2022-07-21 | 3280 TAMIAMI TRL, STE. 55A PMB 285, PORT CHARLOTTE, FL, 339528086, US | 4200 TAMIAMI TRL STE D, PORT CHARLOTTE, FL, 339529233, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-235-1840 |
| Fax | 9412351842 |
Authorized person
| Name | MR. WAYNE A PERRY |
| Role | PRESIDENT |
| Phone | 9412351840 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 1313349 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1313349 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL PROVIDER NUMBE |
| Number | P8164 |
| State | FL |
| Issuer | MEDICAID |
| Number | 022953901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 005828100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WICKER JOHN M | Agent | 12670 NEW BRITTANY BLVD. #101, FT. MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| PERRY WAYNE A | President | 11089 River Trent Ct, Lehigh Acres, FL, 33971 |
| Name | Role | Address |
|---|---|---|
| PERRY WAYNE A | Secretary | 11089 River Trent Ct, Lehigh Acres, FL, 33971 |
| Name | Role | Address |
|---|---|---|
| PERRY WAYNE A | Treasurer | 11089 River Trent Ct, Lehigh Acres, FL, 33971 |
| Name | Role | Address |
|---|---|---|
| PERRY WAYNE A | Director | 11089 River Trent Ct, Lehigh Acres, FL, 33971 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000118449 | UNITY MEDICAL | EXPIRED | 2012-12-20 | 2017-12-31 | No data | 3280-55A TAMIAMI TRAIL, PMB 285, PORT CHARLOTTE, FL, 33952, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2012-06-29 | No data | No data |
| AMENDMENT | 2009-01-16 | No data | No data |
| AMENDMENT | 2003-05-12 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000112169 | ACTIVE | 1000000946035 | CHARLOTTE | 2023-03-08 | 2033-03-15 | $ 639.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
