| Entity Name: | DIABETIC HEALTH SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 May 2004 (21 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: | P04000080038 |
| FEI/EIN Number | 571206042 |
| Address: | 13 SO. DIXIE HWY., LAKE WORTH, FL, 33460 |
| Mail Address: | 13 SO. DIXIE HWY., LAKE WORTH, FL, 33460 |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750385035 | 2005-06-02 | 2020-08-22 | 9031 PITTSBURGH BLVD, FORT MYERS, FL, 339677206, US | 9031 PITTSBURGH BLVD, FORT MYERS, FL, 339677206, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-437-4004 |
| Fax | 2394374008 |
Authorized person
| Name | LYNN C REDAVID |
| Role | PRESIDENT/CUSTOMER SERVICE MANAGER |
| Phone | 2394374004 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 5282130001 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADAMS JOELL | Agent | 19 S. DIXIE HWY., LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| KREBS ROBERT T | President | 19 SO. DIXIE HWY., LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| KREBS ROBERT T | Director | 19 SO. DIXIE HWY., LAKE WORTH, FL, 33460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-11-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-24 | ADAMS, JOELL | No data |
| AMENDMENT | 2007-01-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-24 | 19 S. DIXIE HWY., LAKE WORTH, FL 33460 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-24 | 13 SO. DIXIE HWY., LAKE WORTH, FL 33460 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-24 | 13 SO. DIXIE HWY., LAKE WORTH, FL 33460 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-29 |
| REINSTATEMENT | 2007-11-06 |
| Amendment | 2007-01-24 |
| Off/Dir Resignation | 2007-01-03 |
| Off/Dir Resignation | 2006-12-28 |
| ANNUAL REPORT | 2006-03-24 |
| ANNUAL REPORT | 2005-04-12 |
| Domestic Profit | 2004-05-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
