| Entity Name: | GRQ MEDICAL SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Jan 2006 (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: | P06000008801 |
| Address: | 12332 SW 132 CT, MIAMI, FL 33156 |
| Mail Address: | 9365 SW 77TH AVE, SUITE #1009, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861425423 | 2006-07-08 | 2007-07-25 | 12332 SW 132ND CT, MIAMI, FL, 331866451, US | 12332 SW 132ND CT, MIAMI, FL, 331866451, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-969-0233 |
Authorized person
| Name | MR. SHAUN ALRIC PENN |
| Role | OWNER/GENERAL MANAGER |
| Phone | 7862699760 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 210603220085 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313226 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PENN, SHAUN A | Agent | 9365 SW 77TH AVE, SUITE #1009, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| PENN, SHAUN A | President | 9365 SW 77TH AVE APT#1009, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2006-12-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-12-14 | 12332 SW 132 CT, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| Amendment | 2006-12-14 |
| Domestic Profit | 2006-01-18 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
