| Entity Name: | KISSIMMEE MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 2008 (17 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P08000012053 |
| FEI/EIN Number | 261874054 |
| Address: | 941 ARMSTRONG BLVD, STE B, KISSIMMEE, FL, 34741, US |
| Mail Address: | 941 ARMSTRONG BLVD, STE B, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871762286 | 2008-02-29 | 2011-08-22 | 941 ARMSTRONG BLVD, SUITE B, KISSIMMEE, FL, 347414619, US | 941 ARMSTRONG BLVD, SUITE B, KISSIMMEE, FL, 347414619, US | |||||||||||||||
|
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| Phone | +1 407-483-0868 |
| Fax | 4074830868 |
Authorized person
| Name | ROBERT ODELL |
| Role | OWNER |
| Phone | 4074830868 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOCH TRACY L | Agent | 941 ARMSTRONG BLVD, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| ODELL ROBERT M | President | 941 ARMSTRONG BLVD, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| KOCH TRACY L | Director | 941 ARMSTRONG BLVD, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| ODELL KONNI | Secretary | 941 ARMSTRONG BLVD, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-23 | 941 ARMSTRONG BLVD, STE B, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-23 | 941 ARMSTRONG BLVD, STE B, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-23 | 941 ARMSTRONG BLVD, STE B, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-24 | KOCH, TRACY L | No data |
| AMENDMENT | 2008-02-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-03-10 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-02-24 |
| Amendment | 2008-02-11 |
| Domestic Profit | 2008-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
