| Entity Name: | AAA DISCOUNT MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jan 2006 (19 years ago) |
| Date of dissolution: | 12 Feb 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Feb 2013 (12 years ago) |
| Document Number: | P06000012190 |
| FEI/EIN Number | 204212625 |
| Address: | 5471 NORTH DIXIE HWY, #8, BOCA RATON, FL, 33487 |
| Mail Address: | 5471 NORTH DIXIE HWY, #8, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447568969 | 2010-09-17 | 2010-09-17 | 5471 N DIXIE HWY, #8, BOCA RATON, FL, 334874905, US | 5471 N DIXIE HWY, #8, BOCA RATON, FL, 334874905, US | |||||||||||||||||||||||||
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| Phone | +1 561-893-9670 |
| Fax | 5618939669 |
Authorized person
| Name | MR. FRANKIE LANE |
| Role | PRESIDENT |
| Phone | 5618939670 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313049 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER |
| Number | 691-226500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANE FRANKIE P | Agent | 4868 N CITATION DR #103, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| LANE FRANKIE P | President | 4868 N CITATION DR #103, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| LANE FRANKIE P | Secretary | 4868 N CITATION DR #103, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| LANE FRANKIE P | Treasurer | 4868 N CITATION DR #103, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| LANE FRANKIE P | Director | 4868 N CITATION DR #103, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-02-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-16 | 5471 NORTH DIXIE HWY, #8, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-16 | 4868 N CITATION DR #103, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-23 | 5471 NORTH DIXIE HWY, #8, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-09 | LANE, FRANKIE PSTD | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-02-12 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-01-13 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-01-09 |
| ANNUAL REPORT | 2007-07-09 |
| Domestic Profit | 2006-01-26 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | V548PROSFY08780423146 | 2007-10-01 | 2008-09-19 | 2008-09-19 | |||||||||||||||||||||
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| Title | PROSTHETICS EXPRESS REPORT FY 08 |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ |
Recipient Details
| Recipient | AAA DISCOUNT MEDICAL SUPPLY, INC. |
| UEI | GJ1LP2P5N287 |
| Legacy DUNS | 780423146 |
| Recipient Address | 5301 N DIXIE HWY #1, BOCA RATON, 334874921, UNITED STATES |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
