| Entity Name: | A1 SUPPLY COMPANY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Oct 2006 (18 years ago) |
| Date of dissolution: | 07 Jun 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Jun 2010 (15 years ago) |
| Document Number: | P06000135847 |
| FEI/EIN Number | 205832936 |
| Address: | 2013 20TH LANE, PALM BCH GARDENS, FL, 33418 |
| Mail Address: | 2013 20TH LANE, PALM BCH GARDENS, FL, 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689722068 | 2007-01-08 | 2010-05-12 | 2013 20TH LN, PALM BEACH GARDENS, FL, 334183566, US | 2013 20TH LN, PALM BEACH GARDENS, FL, 334183566, US | |||||||||||||||||||||
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| Phone | +1 561-721-5302 |
| Fax | 8666995954 |
Authorized person
| Name | CINTHIA TOTKA |
| Role | PRESIDENT |
| Phone | 5617215302 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | M2803 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNTZ DEBORAH | Agent | 2780 OLD MILITARY TRAIL LOT 27, WEST PALM BEACH, FL, 3341- |
| Name | Role | Address |
|---|---|---|
| MUNTZ DEBORAH | President | 2780 OLD MILITARY TRAIL, #27, W. PALM BCH, FL, 33417 |
| TOTKA CINTHIA | President | 2013 20TH LANE, PALM BCH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| MUNTZ DEBORAH | Director | 2780 OLD MILITARY TRAIL, #27, W. PALM BCH, FL, 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-06-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-15 | 2013 20TH LANE, PALM BCH GARDENS, FL 33418 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-15 | MUNTZ, DEBORAH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-15 | 2780 OLD MILITARY TRAIL LOT 27, WEST PALM BEACH, FL 3341-7 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-09 | 2013 20TH LANE, PALM BCH GARDENS, FL 33418 | No data |
| ARTICLES OF CORRECTION | 2006-11-03 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-06-07 |
| ANNUAL REPORT | 2010-03-15 |
| ANNUAL REPORT | 2009-01-09 |
| ANNUAL REPORT | 2008-01-29 |
| ANNUAL REPORT | 2007-01-16 |
| Articles of Correction | 2006-11-03 |
| Domestic Profit | 2006-10-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
