Search icon

SELF EXPRESSIONS NURSING SUPPLIES, INC.

Company Details

Entity Name: SELF EXPRESSIONS NURSING SUPPLIES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Jul 2002 (23 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P02000073331
FEI/EIN Number 020631466
Address: 1 SHERWOOD DR, SHALIMAR, FL, 32579
Mail Address: 1 SHERWOOD DR, SHALIMAR, FL, 32579
ZIP code: 32579
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558414649 2007-01-19 2020-08-22 1 SHERWOOD DR, SHALIMAR, FL, 325791023, US 1 SHERWOOD DR, SHALIMAR, FL, 325791023, US

Contacts

Phone +1 850-651-4500
Fax 8506514504

Authorized person

Name MRS. DONNA K SELF
Role CEO
Phone 8506514500

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 260000400952
State FL
Is Primary Yes

Agent

Name Role Address
SELF DONNA K Agent 1 SHERWOOD DR, SHALIMAR, FL, 32579

Chief Executive Officer

Name Role Address
SELF DONNA K Chief Executive Officer 1 SHERWOOD DR, SHALIMAR, FL, 32579

DOO

Name Role Address
SELF ARTHUR B DOO 1 SHERWOOD DR, SHALIMAR, FL, 32579

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2015-07-27 No data No data
REGISTERED AGENT NAME CHANGED 2015-07-27 SELF, DONNA K No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-05-26 1 SHERWOOD DR, SHALIMAR, FL 32579 No data
CHANGE OF MAILING ADDRESS 2004-05-26 1 SHERWOOD DR, SHALIMAR, FL 32579 No data
REGISTERED AGENT ADDRESS CHANGED 2004-05-26 1 SHERWOOD DR, SHALIMAR, FL 32579 No data

Documents

Name Date
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-03-26
ANNUAL REPORT 2016-04-28
REINSTATEMENT 2015-07-27
ANNUAL REPORT 2012-04-26
ANNUAL REPORT 2011-05-01
ANNUAL REPORT 2010-04-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State