| Entity Name: | EASTERN MEDICAL SUPPLY, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Jan 2005 (20 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P05000001547 |
| FEI/EIN Number | 202113350 |
| Address: | 740 SE 5TH PLACE, HIALEAH, FL, 33010 |
| Mail Address: | 740 SE 5TH PLACE, HIALEAH, FL, 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841217577 | 2006-07-17 | 2020-08-22 | 6758 NW 72 AVE, MIAMI, FL, 33166, US | 6758 NW 72 AVE, MIAMI, FL, 33166, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 305-863-3450 |
| Fax | 3058633451 |
Authorized person
| Name | JOAN FARDALES |
| Role | PRESIDENT |
| Phone | 3058633450 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1312728 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 3204254 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FARDALES JOAN | Agent | 740 SE 5TH PLACE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| FARDALES JOAN | President | 740 SE 5TH PLACE, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-09-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| AMENDMENT | 2005-07-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-07-27 | FARDALES, JOAN | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2006-09-19 |
| Amendment | 2005-07-27 |
| Domestic Profit | 2005-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
