| Entity Name: | ALLMED DISCOUNT SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Apr 2002 (23 years ago) |
| Document Number: | P02000041151 |
| FEI/EIN Number | 010664194 |
| Address: | 6800 E. ROGERS CIRCLE, BOCA RATON, FL, 33487, US |
| Mail Address: | 6800 E. ROGERS CIRCLE, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619028487 | 2007-01-16 | 2013-02-18 | 6800 E ROGERS CIR, BOCA RATON, FL, 334872651, US | 6800 E ROGERS CIR, BOCA RATON, FL, 334872651, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 561-999-3838 |
| Fax | 5619993839 |
Authorized person
| Name | MR. WILLIAM NEEDHAM |
| Role | PRESIDENT |
| Phone | 5619993838 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1154 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005971800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEEDHAM WILLIAM | Agent | 6800 E.ROGERS CIRCLE, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| NEEDHAM WILLIAM R | President | 21 TAM O SHANTER LANE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| NEEDHAM WILLIAM R | Chairman | 21 TAM O SHANTER LANE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| NEEDHAM WILLIAM R | Director | 21 TAM O SHANTER LANE, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2012-04-02 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
