| Entity Name: | ALI'S MEDICAL SUPPLY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Oct 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000130765 |
| FEI/EIN Number | 352281222 |
| Address: | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Mail Address: | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235269051 | 2007-03-07 | 2008-04-15 | 6744 W FLAGLER ST, MIAMI, FL, 331442924, US | 6744 W FLAGLER ST, MIAMI, FL, 331442924, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-264-9424 |
| Fax | 3052649427 |
Authorized person
| Name | MS. AILE RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 3052649424 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OXYGEN RETAILER |
| Number | 326590 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | M2840 |
| State | FL |
| Issuer | AHCA |
| Number | 1313352 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ JORGE A | Agent | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ JORGE A | President | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ JORGE A | Secretary | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ JORGE A | Director | 6744 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2008-10-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-10-20 | VELAZQUEZ, JORGE A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-05 | 6744 WEST FLAGLER STREET, MIAMI, FL 33144 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000160801 | ACTIVE | 1000000125624 | DADE | 2009-06-09 | 2030-02-16 | $ 394.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828 |
| Name | Date |
|---|---|
| Amendment | 2008-10-20 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-05 |
| Domestic Profit | 2006-10-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
