| Entity Name: | AMERICAN MEDICAL SUPPLIERS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Dec 2003 (21 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P03000154305 |
| FEI/EIN Number | 352221601 |
| Address: | 6325 N ORANGE BLOSSOM TRAIL, SUITE 127, ORLANDO, FL, 32810 |
| Mail Address: | 6325 N ORANGE BLOSSOM TRAIL, SUITE 127, ORLANDO, FL, 32810 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790840577 | 2006-12-22 | 2020-08-22 | 6325 N ORANGE BLOSSOM TRL, SUITE 127, ORLANDO, FL, 328104222, US | 6325 N ORANGE BLOSSOM TRL, SUITE 127, ORLANDO, FL, 328104222, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 407-290-2005 |
| Fax | 4072902009 |
Authorized person
| Name | MICHAEL DONALDSON |
| Role | OWNER AND PRESIDENT |
| Phone | 4072902005 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313116 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32 03718 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | R9576 |
| Issuer | WELLCARE |
| Number | N343602 |
| Name | Role | Address |
|---|---|---|
| DONALDSON MICHAEL O | Agent | 201 N. DOLLINS AVE, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| DONALDSON MICHAEL O | President | 201 N. DOLLINS AVE, ORLANDO, FL, 32805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2006-03-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| AMENDMENT | 2004-01-02 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-02 | 201 N. DOLLINS AVE, ORLANDO, FL 32805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-01-04 |
| REINSTATEMENT | 2006-03-06 |
| ANNUAL REPORT | 2004-08-30 |
| Amendment | 2004-01-02 |
| Domestic Profit | 2003-12-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
