| Entity Name: | CERTIFIED DIABETIC & MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Apr 2005 (20 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P05000062615 |
| FEI/EIN Number | 113748778 |
| Address: | 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL, 32952 |
| Mail Address: | 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL, 32952 |
| ZIP code: | 32952 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265479018 | 2006-06-01 | 2022-02-10 | 190 FORTENBERRY RD, SUITE 102, MERRITT ISLAND, FL, 329523401, US | 190 FORTENBERRY RD, SUITE 102, MERRITT ISLAND, FL, 329523401, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 321-459-3882 |
| Fax | 3214544614 |
Authorized person
| Name | MS. CATHY LIEBSCH |
| Role | PRESIDENT |
| Phone | 3214593882 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LARSEN HOWARD LII | Agent | 190 FORTENBERRY ROAD SUITE 102, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| LIEBSCH C J | Director | 3848 RAMBLING ACRES DR, TITUSVILLE, FL, 32796 |
| LARSEN HOWARD LII | Director | 3225 S TROPICAL TRL, MERRITT ISLAND, FL, 32952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G05124700029 | CERTIFIED DIABETIC & MEDICAL SUPPLIES | ACTIVE | 2005-05-04 | 2026-12-31 | No data | 190 FORTENBERRY RD, SUITE 102, MERRITT ISLAND, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-22 | LARSEN, HOWARD L, II | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-19 | 190 FORTENBERRY ROAD SUITE 102, MERRITT ISLAND, FL 32952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-07-31 | 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL 32952 | No data |
| CHANGE OF MAILING ADDRESS | 2008-07-31 | 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL 32952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-10 |
| ANNUAL REPORT | 2014-02-10 |
| ANNUAL REPORT | 2013-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
