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GEORGIA MEDICAL SUPPLY, INC.

Company Details

Entity Name: GEORGIA MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Oct 2006 (18 years ago)
Date of dissolution: 02 Jul 2007 (18 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 Jul 2007 (18 years ago)
Document Number: P06000134041
FEI/EIN Number APPLIED FOR
Address: 3450 W 84 ST, SUITE #102-C, HIALEAH, FL, 33018
Mail Address: 3450 W 84 ST, SUITE #102-C, HIALEAH, FL, 33018
ZIP code: 33018
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962574525 2006-11-15 2020-08-22 3450 W 84TH ST, 102-C, HIALEAH, FL, 330184924, US 3450 W 84TH ST, 102-C, HIALEAH, FL, 330184924, US

Contacts

Phone +1 786-768-1499
Fax 3054776518

Authorized person

Name NOLBERTO PELAEZ
Role PRESIDENT
Phone 7867681499

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers

Issuer EIN
Number 2057698887
State FL

Agent

Name Role Address
PELAEZ NOLBERTO Agent 3450 W 84 ST, HIALEAH, FL, 33018

President

Name Role Address
PELAEZ NOLBERTO President 3450 W 84 ST, SUITE #102-C, HIALEAH, FL, 33018

Director

Name Role Address
PELAEZ NOLBERTO Director 3450 W 84 ST, SUITE #102-C, HIALEAH, FL, 33018

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2007-07-02 No data No data

Documents

Name Date
Voluntary Dissolution 2007-07-02
ANNUAL REPORT 2007-05-16
Domestic Profit 2006-10-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State