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HALLANDALE MEDICAL SUPPLY INC.

Company Details

Entity Name: HALLANDALE MEDICAL SUPPLY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Aug 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: P04000112834
FEI/EIN Number 342011929
Address: 9915 WEST OKEECHOBEE RD, 5408, HIALEAH GARDEN, FL, 33016
Mail Address: 9915 WEST OKEECHOBEE RD, 5408, HIALEAH GARDEN, FL, 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831207083 2006-08-28 2020-08-22 3060 COUNTRY CLUB LN, HALLANDALE, FL, 330095118, US 3060 COUNTRY CLUB LN, HALLANDALE, FL, 330095118, US

Contacts

Phone +1 954-981-0710
Fax 9549810610

Authorized person

Name MARK SHATKHIN
Role PRESIDENT OWNER
Phone 9549810710

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
SHATKIN MARK Agent 9915 WEST OKEECHOBEE RD, HIALEAH GARDEN, FL, 33016

President

Name Role Address
RODRIGUEZ MIGUEL A President 9915 WEST OKEECHOBEE RD APT 5408, HIALEAH GARDENS, FL, 33016

Director

Name Role Address
RODRIGUEZ MIGUEL A Director 9915 WEST OKEECHOBEE RD APT 5408, HIALEAH GARDENS, FL, 33016

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-30 9915 WEST OKEECHOBEE RD, 5408, HIALEAH GARDEN, FL 33016 No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-30 9915 WEST OKEECHOBEE RD, 5408, HIALEAH GARDEN, FL 33016 No data
CHANGE OF MAILING ADDRESS 2008-04-30 9915 WEST OKEECHOBEE RD, 5408, HIALEAH GARDEN, FL 33016 No data
AMENDMENT 2007-06-11 No data No data
AMENDMENT 2006-11-01 No data No data
AMENDMENT 2005-05-10 No data No data
NAME CHANGE AMENDMENT 2005-01-18 HALLANDALE MEDICAL SUPPLY INC. No data

Documents

Name Date
ANNUAL REPORT 2008-04-30
Amendment 2007-06-11
ANNUAL REPORT 2007-04-30
Amendment 2006-11-01
ANNUAL REPORT 2006-09-01
Amendment 2005-05-10
ANNUAL REPORT 2005-03-21
Name Change 2005-01-18
Domestic Profit 2004-08-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State