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CERTIFIED DIABETIC & MEDICAL SERVICES, INC. - Florida Company Profile

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Company Details

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 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years 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
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

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
LARSEN HOWARD LII Agent 190 FORTENBERRY ROAD SUITE 102, MERRITT ISLAND, FL, 32952

Unique Entity ID

CAGE Code:
7JK65
UEI Expiration Date:
2018-08-29

Business Information

Doing Business As:
CERTIFIED DIABETIC & MEDICAL SUPPLIES
Activation Date:
2017-08-29
Initial Registration Date:
2016-01-16

Commercial and government entity program

CAGE number:
7JK65
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-08-31
CAGE Expiration:
2022-08-30

Contact Information

POC:
MELINDA E LARSEN

National Provider Identifier

NPI Number:
1265479018
Certification Date:
2022-02-10

Authorized Person:

Name:
MS. CATHY LIEBSCH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Fax:
3214544614

Fictitious Names

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 - 190 FORTENBERRY RD, SUITE 102, MERRITT ISLAND, FL, 32952

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT NAME CHANGED 2022-04-22 LARSEN, HOWARD L, II -
REGISTERED AGENT ADDRESS CHANGED 2009-03-19 190 FORTENBERRY ROAD SUITE 102, MERRITT ISLAND, FL 32952 -
CHANGE OF PRINCIPAL ADDRESS 2008-07-31 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL 32952 -
CHANGE OF MAILING ADDRESS 2008-07-31 190 FORTENBERRY RD, STE 102, MERRITT ISLAND, FL 32952 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-03-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
29142.00
Total Face Value Of Loan:
29142.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$29,142
Date Approved:
2021-03-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$29,142
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,551.61
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $29,138
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State