| Entity Name: | AK ALAMO MEDICAL SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Jun 2010 (15 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: | P10000047176 |
| FEI/EIN Number | 27-2780017 |
| Address: | 1536 CYPRESS AVE, MELBOURNE, FL 32935 |
| Mail Address: | 17748 AYSHIRE ST, ORLANDO, FL 32820 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699078774 | 2010-12-13 | 2012-07-05 | 1536 CYPRESS AVE, MELBOURNE, FL, 32935, US | 1536 CYPRESS AVE, MELBOURNE, FL, 329355929, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 321-255-5549 |
| Fax | 3212555692 |
Authorized person
| Name | MR. MANUEL ROXAS DIEGO |
| Role | PRESIDENT |
| Phone | 4072279050 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1368 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003361700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIEGO, MANUEL R | Agent | 17748 AYSHIRE ST, ORLANDO, FL 32820 |
| Name | Role | Address |
|---|---|---|
| DIEGO, MANUEL R | President | 17748 AYSHIRE ST, ORLANDO, FL 32820 |
| Name | Role | Address |
|---|---|---|
| DIEGO, LINA A | Vice President | 17748 AYSHIRE ST, ORLANDO, FL 32820 |
| Name | Role | Address |
|---|---|---|
| DIEGO, KATHRYN A | Secretary | 17748 AYSHIRE ST, ORLANDO, FL 32820 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000098911 | NATIONWIDE WHEELCHAIR SCOOTER AND LIFT | EXPIRED | 2010-10-27 | 2015-12-31 | No data | 1536 CYPRESS AVE, MELBOURNE, FL, 32935 |
| G10000087069 | NATIONWIDE WHEELCHAIR, SCOOTER AND LIFT | EXPIRED | 2010-09-22 | 2015-12-31 | No data | 1536 CYPRESS AVE, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-03 | 1536 CYPRESS AVE, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-03 |
| ANNUAL REPORT | 2014-02-02 |
| ANNUAL REPORT | 2013-01-20 |
| ANNUAL REPORT | 2012-01-25 |
| ANNUAL REPORT | 2011-01-03 |
| Domestic Profit | 2010-06-03 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
