| Entity Name: | MIAMI LAKES MEDICAL SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Oct 2006 (18 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: | P06000129263 |
| Address: | 6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL, 33014 |
| Mail Address: | 6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912096470 | 2006-10-12 | 2020-08-22 | 6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL, 330142741, US | 6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL, 330142741, US | |||||||||||||||
|
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| Phone | +1 754-581-2043 |
Authorized person
| Name | HENRY R CROUSER |
| Role | PRES |
| Phone | 7545812043 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | N/A |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROUSER HENRY R | Agent | 6447 MIAMI LAKES DRIVE, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CROUSER HENRY R | President | 6447 MIAMI LAKES DRIVE, SUITE 222E, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CROUSER HENRY R | Secretary | 6447 MIAMI LAKES DRIVE, SUITE 222E, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CROUSER HENRY R | Director | 6447 MIAMI LAKES DRIVE, SUITE 222E, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2006-10-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
