| Entity Name: | FONTAINEBLEAU MEDICAL SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Apr 2004 (21 years ago) |
| Date of dissolution: | 19 Feb 2008 (17 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Feb 2008 (17 years ago) |
| Document Number: | P04000062234 |
| FEI/EIN Number | 201051168 |
| Address: | 175 FONTAINEBLEAU BLVD., STE: 1-R-1, MIAMI, FL, 33172 |
| Mail Address: | 175 FONTAINEBLEAU BLVD., STE: 1-R-1, MIAMI, FL, 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982642468 | 2006-06-04 | 2020-08-22 | 175 FONTAINEBLEAU BLVD, SUITE 1R1, MIAMI, FL, 331727018, US | 175 FONTAINEBLEAU BLVD, SUITE 1R1, MIAMI, FL, 331727018, US | |||||||||||||||||||
|
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| Phone | +1 305-485-0809 |
| Fax | 3054854840 |
Authorized person
| Name | MR. PAVEL CABRERA |
| Role | PRESIDENT |
| Phone | 3054850809 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | HME1312473 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CABRERA PAVEL | Agent | 175 FONTAINEBLEAU BLVD., MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| CABRERA PAVEL | President | 175 FONTAINEBLEAU BLVD. STE: 1-R1, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| CABRERA PAVEL | Director | 175 FONTAINEBLEAU BLVD. STE: 1-R1, MIAMI, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2008-02-19 | No data | No data |
| AMENDMENT | 2004-06-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-06-24 | CABRERA, PAVEL | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2008-02-19 |
| ANNUAL REPORT | 2007-02-05 |
| ANNUAL REPORT | 2006-01-06 |
| ANNUAL REPORT | 2005-02-18 |
| Amendment | 2004-06-24 |
| Domestic Profit | 2004-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
