| Entity Name: | LATIN MEDICAL SUPPLY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LATIN MEDICAL SUPPLY INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Aug 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000109159 |
| FEI/EIN Number |
203265763
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 240 E 1 AVE, 124, HIALEAH, FL, 33010 |
| Mail Address: | 240 E 1 AVE, 124, HIALEAH, FL, 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063477784 | 2006-04-18 | 2023-03-07 | 240 E 1ST AVE, STE 124, HIALEAH, FL, 330104963, US | 240 E 1ST AVE, STE 124, HIALEAH, FL, 330104963, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-885-4214 |
| Fax | 3058854215 |
Authorized person
| Name | JOSE E BECEIRO |
| Role | PRESIDENT |
| Phone | 3058854214 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH22896 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP DME NUMBER |
| Number | 1029645 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000925000 |
| State | FL |
| Issuer | PHARMACY LLICENSE |
| Number | PH22895 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALAZAR WILLIAM | President | 240 E 1 AVE # 124, HIALEAH, FL, 33010 |
| SALAZAR WILLIAM | Director | 240 E 1 AVE # 124, HIALEAH, FL, 33010 |
| SALAZAR WILLIAM | Agent | 240 E 1 AVE, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-12-02 | SALAZAR, WILLIAM | - |
| AMENDMENT | 2014-11-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-05 | 240 E 1 AVE, 124, HIALEAH, FL 33010 | - |
| CHANGE OF MAILING ADDRESS | 2009-02-05 | 240 E 1 AVE, 124, HIALEAH, FL 33010 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-05 | 240 E 1 AVE, 124, HIALEAH, FL 33010 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2014-12-02 |
| Amendment | 2014-11-21 |
| ANNUAL REPORT | 2014-01-17 |
| ANNUAL REPORT | 2013-02-04 |
| ANNUAL REPORT | 2012-01-12 |
| ANNUAL REPORT | 2011-01-28 |
| ANNUAL REPORT | 2010-03-02 |
| ANNUAL REPORT | 2009-02-05 |
| ANNUAL REPORT | 2008-03-05 |
| ANNUAL REPORT | 2007-03-15 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
