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SOUTHEASTERN MEDICAL SUPPLY, INC. - Florida Company Profile

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Company Details

Entity Name: SOUTHEASTERN MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jan 2002 (24 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Jul 2018 (7 years ago)
Document Number: P02000010352
FEI/EIN Number 030384756
Address: 3615 CENTURY BLVD.,, LAKELAND, FL, 33811, US
Mail Address: 3615 CENTURY BLVD.,, LAKELAND, FL, 33811, US
ZIP code: 33811
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ESCOBEDO JOSE President 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811
ESCOBEDO JOSE Agent 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811
ESCOBEDO JOSE Vice President 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811

National Provider Identifier

NPI Number:
1578568176

Authorized Person:

Name:
ELEANOR MARIE METHOT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
8635511777

Form 5500 Series

Employer Identification Number (EIN):
590384756
Plan Year:
2012
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
20
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000162527 ACTIVE BY CHOICE EXPIRED 2009-10-06 2014-12-31 - 378 E. DANIA BEACH BLVD., # 373, DANIA BEACH, FL, 33004

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-07-17 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL 33811 -
AMENDMENT 2018-07-17 - -
REGISTERED AGENT NAME CHANGED 2018-07-17 ESCOBEDO, JOSE -
CHANGE OF PRINCIPAL ADDRESS 2016-06-07 3615 CENTURY BLVD.,, UNIT #1, LAKELAND, FL 33811 -
CHANGE OF MAILING ADDRESS 2016-06-07 3615 CENTURY BLVD.,, UNIT #1, LAKELAND, FL 33811 -
MERGER 2009-09-21 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000099429
MERGER 2005-06-20 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000052685
AMENDMENT 2004-10-08 - -
REINSTATEMENT 2003-09-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-07
Amendment 2018-07-17
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-03-14

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$120,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$114,203
Race:
Black or African American
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$103,395.39
Servicing Lender:
Celtic Bank Corporation
Use of Proceeds:
Payroll: $114,203
Jobs Reported:
9
Initial Approval Amount:
$114,203
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$114,203
Race:
Black or African American
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$115,079.08
Servicing Lender:
Celtic Bank Corporation
Use of Proceeds:
Payroll: $114,198
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State