| Entity Name: | CORPUS CHRISTI MEDICAL SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jul 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000079533 |
| FEI/EIN Number | 421604245 |
| Address: | 215 S.W. 17TH AVE., SUITE 310, MIAMI, FL, 33135 |
| Mail Address: | 215 S.W. 17TH AVE., SUITE 310, MIAMI, FL, 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477589968 | 2006-06-25 | 2008-02-15 | 215 SW 17TH AVE, SUITE 310, MIAMI, FL, 331353689, US | 215 SW 17TH AVE, SUITE 310, MIAMI, FL, 331353689, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-649-8271 |
| Fax | 3056496988 |
Authorized person
| Name | MARINA NIEVES |
| Role | PRESIDENT |
| Phone | 3056498271 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312083 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 3203663 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 1312083 |
| State | FL |
| Issuer | OXYGEN |
| Number | 3203663 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NIEVES MARINA | Agent | 1395 W 41ST ST #3, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| NIEVES MARINA | President | 1395 WEST 41ST STREET, #3, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| NIEVES MARINA | Director | 1395 WEST 41ST STREET, #3, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-10-17 | 215 S.W. 17TH AVE., SUITE 310, MIAMI, FL 33135 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-17 | 215 S.W. 17TH AVE., SUITE 310, MIAMI, FL 33135 | No data |
| CANCEL ADM DISS/REV | 2005-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| AMENDMENT | 2004-12-01 | No data | No data |
| AMENDMENT | 2003-10-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-10-02 | NIEVES, MARINA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-10-02 | 1395 W 41ST ST #3, HIALEAH, FL 33012 | No data |
| AMENDMENT | 2003-08-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-07-31 |
| ANNUAL REPORT | 2007-05-25 |
| ANNUAL REPORT | 2006-07-19 |
| REINSTATEMENT | 2005-10-07 |
| Amendment | 2004-12-01 |
| Off/Dir Resignation | 2004-12-01 |
| ANNUAL REPORT | 2004-09-28 |
| Amendment | 2003-10-03 |
| Amendment | 2003-08-29 |
| Domestic Profit | 2003-07-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
