| Entity Name: | ACTIVE MEDICAL SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Mar 2005 (20 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: | P05000042758 |
| FEI/EIN Number | 202555717 |
| Address: | 3622 REID STREET, PALATKA, FL, 32177 |
| Mail Address: | 3622 REID STREET, PALATKA, FL, 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477580777 | 2006-06-26 | 2008-08-04 | 310 S PALM AVE STE 5, PALATKA, FL, 321774161, US | 310 S PALM AVE STE 5, PALATKA, FL, 321774161, US | |||||||||||||||||||||
|
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| Phone | +1 386-328-1093 |
| Fax | 3863281426 |
Authorized person
| Name | JARED SCRAY |
| Role | OWNER |
| Phone | 3863281093 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | R9736 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESPINOSA HERNANDEZ ORISBEL | Agent | 3622 REID STREET, PALATKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA HERNANDEZ ORISBEL | President | 3622 REID STREET, PALATKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA HERNANDEZ ORISBEL | Secretary | 3622 REID STREET, PALATKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA HERNANDEZ ORISBEL | Treasurer | 3622 REID STREET, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2008-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-09-23 | ESPINOSA HERNANDEZ, ORISBEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-23 | 3622 REID STREET, PALATKA, FL 32177 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-02 | 3622 REID STREET, PALATKA, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2007-05-02 | 3622 REID STREET, PALATKA, FL 32177 | No data |
| Name | Date |
|---|---|
| Amendment | 2008-09-23 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-05-02 |
| ANNUAL REPORT | 2006-03-21 |
| Domestic Profit | 2005-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
