| Entity Name: | AVATAR MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 2007 (18 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P07000015073 |
| Address: | 211 E 4 AVE, HIALEAH, FL, 33010 |
| Mail Address: | 211 E 4 AVE, HIALEAH, FL, 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457577967 | 2007-04-17 | 2007-10-29 | 211 E 4TH AVE, HIALEAH, FL, 330104907, US | 211 E 4TH AVE, HIALEAH, FL, 330104907, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-884-1915 |
| Fax | 3058841913 |
Authorized person
| Name | SERGIO TOLEDO |
| Role | PRESIDENT |
| Phone | 3058841915 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313375 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32 6579 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEDESMA CARLOS L | Agent | 211 E 4TH AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| LEDESMA CARLOS L | President | 211 E 4 AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| LEDESMA CARLOS L | Secretary | 211 E 4 AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| LEDESMA CARLOS L | Director | 211 E 4 AVE, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| AMENDMENT | 2008-06-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-06-03 | LEDESMA, CARLOS L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-06-03 | 211 E 4TH AVE, HIALEAH, FL 33010 | No data |
| AMENDMENT | 2008-04-15 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2008-06-03 |
| Amendment | 2008-04-15 |
| Domestic Profit | 2007-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
