| Entity Name: | PRIME TIME MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P08000066960 |
| FEI/EIN Number | 262985681 |
| Address: | C/O Stephen J. Czarnik, Esq, 245 Park Avenue, 39th FL, New York, NY, 10167, US |
| Mail Address: | C/O Stephen J. Czarnik, Esq, 245 Park Avenue, 39th FL, New York, NY, 10167, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518121854 | 2008-07-16 | 2010-12-21 | 7201 BRYAN DAIRY RD, LARGO, FL, 337771505, US | 7201 BRYAN DAIRY RD, LARGO, FL, 337771505, US | |||||||||||||||||||||
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| Phone | +1 727-548-8386 |
| Fax | 7275487985 |
Authorized person
| Name | MR. MARK R. MIKLOS |
| Role | PRESIDENT |
| Phone | 7275488386 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002348200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANGLE DAVID C | Agent | 444 Brickell Avenue, Miami, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| Houlihan Keith J | President | C/O Stephen J. Czarnik, Esq, New York, NY, 10167 |
| Name | Role | Address |
|---|---|---|
| Langle David C | Chief Financial Officer | C/O Stephen J. Czarnik, Esq, New York, NY, 10167 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-10 | C/O Stephen J. Czarnik, Esq, 245 Park Avenue, 39th FL, New York, NY 10167 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-10 | C/O Stephen J. Czarnik, Esq, 245 Park Avenue, 39th FL, New York, NY 10167 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-11-05 | LANGLE, DAVID C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-11-05 | 444 Brickell Avenue, 415, Miami, FL 33131 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000879485 | LAPSED | 14-001628-CI | SIXTH JUDICIAL CIRCUIT COURT | 2014-07-21 | 2019-08-12 | $56,912.93 | FIRST INDUSTRIAL PENNSYLVANIA, L.P., 311 SOUTH WACHER, #3900, CHICAGO, IL 60606 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-03 |
| ANNUAL REPORT | 2014-06-10 |
| AMENDED ANNUAL REPORT | 2013-11-05 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-03-25 |
| Domestic Profit | 2008-07-15 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
