| Entity Name: | PALM BEACH COUNTY MEDICAL SUPPLY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Jul 2013 (12 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: | P13000063676 |
| Address: | 2393 S CONGRESS AVE, 119, PALM SPRINGS, FL, 33406, US |
| Mail Address: | 2393 S CONGRESS AVE, 119, PALM SPRINGS, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104252493 | 2013-09-19 | 2013-09-19 | 2393 S CONGRESS AVE, SUITE 119, WEST PALM BEACH, FL, 334067628, US | 2393 S CONGRESS AVE, SUITE 119, WEST PALM BEACH, FL, 334067628, US | |||||||||||||||||||||||||
|
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| Phone | +1 888-686-0011 |
| Fax | 8778499990 |
Authorized person
| Name | MS. DELORES WILLIAMS WEEKS |
| Role | COF/OWNER |
| Phone | 8886860011 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ORTHOTIC FITTER |
| Number | ORF153 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | Agent | 111 S LAKESIDE DR, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | President | 111 S LAKESIDE DR APT. 1, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | Director | 111 S LAKESIDE DR APT. 1, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | Vice President | 111 S LAKESIDE DR APT. 1, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | Secretary | 111 S LAKESIDE DR APT. 1, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WEEKS DELORES | Treasurer | 111 S LAKESIDE DR APT. 1, LAKE WORTH, FL, 33460 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000085033 | ROYAL PALM MEDICAL SUPPLY | EXPIRED | 2013-08-27 | 2018-12-31 | No data | 2393 S. CONGRESS AVE., SUITE 119, PALM SPRINGS, FL, 33406 |
| G13000077152 | PALM BEACH MEDICAL SUPPLY | EXPIRED | 2013-08-02 | 2018-12-31 | No data | 2393 S CONGRESS AVE, SUITE 119, PALM SPRINGS, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2013-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
