| Entity Name: | O & M MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jul 2001 (24 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P01000073390 |
| FEI/EIN Number | 651125616 |
| Address: | 14100 PALMETTO FRONTAGE ROAD, SUITE 104, MIAMI LAKES, FL, 33016 |
| Mail Address: | 14100 PALMETTO FRONTAGE ROAD, SUITE 104, MIAMI LAKES, FL, 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447282132 | 2006-07-06 | 2020-08-22 | 14100 PALMETTO FRONTGATE ROAD, SUITE 104, MIAMI LAKES, FL, 33016, US | 14100 PALMETTO FRONTGATE ROAD, SUITE 104, MIAMI LAKES, FL, 33016, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-362-0130 |
| Fax | 3052313329 |
Authorized person
| Name | OVELYN POITEIR |
| Role | PRESIDENT |
| Phone | 3053620130 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 2272 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 3203474 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OXYGEN LICENSE |
| Number | 3203474 |
| State | FL |
| Issuer | AHCA LICENSE |
| Number | 2272 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAVEZ EDUARDO | Agent | 14100 PALMETTO FRONTAGE RD., MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CHAVEZ EDUARDO | President | 14100 PALMETTO FRONTAGE RD #104, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CHAVEZ EDUARDO | Secretary | 14100 PALMETTO FRONTAGE RD #104, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CHAVEZ EDUARDO | Director | 14100 PALMETTO FRONTAGE RD #104, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2006-08-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-08-01 | CHAVEZ, EDUARDO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-08-01 | 14100 PALMETTO FRONTAGE RD., SUITE 104, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-07-13 | 14100 PALMETTO FRONTAGE ROAD, SUITE 104, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2004-07-13 | 14100 PALMETTO FRONTAGE ROAD, SUITE 104, MIAMI LAKES, FL 33016 | No data |
| Name | Date |
|---|---|
| Amendment | 2006-08-01 |
| ANNUAL REPORT | 2006-06-30 |
| ANNUAL REPORT | 2005-01-14 |
| Reg. Agent Change | 2004-07-13 |
| ANNUAL REPORT | 2004-03-02 |
| ANNUAL REPORT | 2003-04-10 |
| ANNUAL REPORT | 2002-05-19 |
| Domestic Profit | 2001-07-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
