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GOOD LIFE MEDICAL SUPPLY CORP

Company Details

Entity Name: GOOD LIFE MEDICAL SUPPLY CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Dec 2005 (19 years ago)
Date of dissolution: 14 Sep 2007 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 14 Sep 2007 (17 years ago)
Document Number: P05000158016
FEI/EIN Number 203871252
Address: 2501 S OCEAN DR #625, HOLLYWOOD, FL, 33019
Mail Address: 2501 S OCEAN DR #625, HOLLYWOOD, FL, 33019
ZIP code: 33019
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598794182 2006-07-03 2020-08-22 1621 S 21ST AVE, HOLLYWOOD, FL, 330206364, US 1621 S 21ST AVE, HOLLYWOOD, FL, 330206364, US

Contacts

Phone +1 954-925-8792
Fax 9549258793

Authorized person

Name ERIKA D GARCIA
Role PRESIDENT
Phone 9549258792

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
GARCIA ERIKA D Agent 2501 S OCEAN DR #625, HOLLYWOOD, FL, 33019

President

Name Role Address
GARCIA ERIKA D President 2501 S OCEAN DR #625, HOLLYWOOD, FL, 33019

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2006-04-19
Domestic Profit 2005-12-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State