| Entity Name: | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2006 (18 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P06000127543 |
| FEI/EIN Number | 205669800 |
| Address: | 3505 NORTH BOBBIE LANE UNIT F68, TITUSVILLE, FL, 32780 |
| Mail Address: | PO BOX 688, SHARPES, FL, 32959 |
| ZIP code: | 32780 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., MISSISSIPPI | 950139 | MISSISSIPPI |
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., RHODE ISLAND | 000508020 | RHODE ISLAND |
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., ALABAMA | 000-941-982 | ALABAMA |
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., NEW YORK | 3825297 | NEW YORK |
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., MINNESOTA | 48479e21-94d4-e011-a886-001ec94ffe7f | MINNESOTA |
| Headquarter of | SPACE COAST DISCOUNT DIABETIC SUPPLIES, INC., CONNECTICUT | 0972880 | CONNECTICUT |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740473354 | 2007-08-27 | 2009-03-02 | PO BOX 688, SHARPES, FL, 329590688, US | 3720 CURTIS BLVD, SUITE 104, COCOA, FL, 329273961, US | |||||||||||||||||||||
|
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| Phone | +1 321-305-5908 |
| Fax | 3213055911 |
Authorized person
| Name | SUSAN VEAUDRY |
| Role | PRESIDENT |
| Phone | 3213055908 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS AND BLUE SHIELD OF FLORIDA |
| Number | R0049 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MYERS LINDA | Agent | 3505 N BOBBIE LANE UNIT F68, TITUSVILLE, FL, 32780 |
| Name | Role | Address |
|---|---|---|
| VEAUDRY SUSAN T | President | 1390 KILLEARN DR., TITUSVILLE, FL, 32780 |
| Name | Role | Address |
|---|---|---|
| MYERS LINDA | Secretary | 7190 HARTMAN ST., COCOA, FL, 32927 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08352900260 | TOTAL CARE DIABETIC | EXPIRED | 2008-12-17 | 2013-12-31 | No data | SPACE COAST DIABETIC SUPPLIES, 1410 WHITE DRIVE, TITUSVILLE, FL, 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-26 | 3505 NORTH BOBBIE LANE UNIT F68, TITUSVILLE, FL 32780 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-26 | 3505 NORTH BOBBIE LANE UNIT F68, TITUSVILLE, FL 32780 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-20 | 3505 N BOBBIE LANE UNIT F68, TITUSVILLE, FL 32780 | No data |
| AMENDMENT | 2009-03-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| Reg. Agent Change | 2013-02-20 |
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-15 |
| Amendment | 2009-03-26 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-01-09 |
| Domestic Profit | 2006-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
