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K. G. MEDICAL SUPPLIES, INC.

Company Details

Entity Name: K. G. MEDICAL SUPPLIES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Oct 2005 (19 years ago)
Date of dissolution: 26 Oct 2007 (17 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Oct 2007 (17 years ago)
Document Number: P05000137814
FEI/EIN Number NOT APPLICABLE
Address: 2500 NW 79TH AVE., SUITE 135, DORAL, FL, 33122
Mail Address: 12746 NW 99 TH CT., HIALEAH GARDENS, FL, 33018
ZIP code: 33122
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508814948 2006-05-05 2020-08-22 2500 NW 79TH AVE, SUITE 135, DORAL, FL, 331221071, US 2500 NW 79TH AVE, SUITE 135, DORAL, FL, 331221071, US

Contacts

Phone +1 305-468-3737

Authorized person

Name DIEGO R RODRIGUEZ
Role PRESIDENT
Phone 3054683737

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1312922
State FL
Is Primary Yes

Agent

Name Role Address
RODRIGUEZ DIEGO R Agent 12746 NW 99TH CT., HIALEAH GARDENS, FL, 33018

President

Name Role Address
RODRIGUEZ DIEGO R President 12746 NW 99TH CT., HIALEAH GARDENS, FL, 33018

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2007-10-26 No data No data
CHANGE OF MAILING ADDRESS 2007-05-01 2500 NW 79TH AVE., SUITE 135, DORAL, FL 33122 No data

Documents

Name Date
Voluntary Dissolution 2007-10-26
ANNUAL REPORT 2007-05-01
ANNUAL REPORT 2006-04-26
Domestic Profit 2005-10-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State