| Entity Name: | BASE MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Mar 2016 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P16000020041 |
| FEI/EIN Number | 35-2589780 |
| Address: | 130 S Indian River Drive, Fort Pierce, FL, 34950, US |
| Mail Address: | 130 S Indian River Drive, Fort Pierce, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275042483 | 2017-09-20 | 2022-07-21 | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL, 349504353, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 772-618-1183 |
| Fax | 7726723014 |
Authorized person
| Name | MR. CLIFFORD TODD MONAGHAN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7726181183 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Monaghan Clifford T | Chief Executive Officer | 130 S Indian River Drive, Fort Pierce, FL, 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-18 | 130 S Indian River Drive, Suite 202, Fort Pierce, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2017-09-18 | 130 S Indian River Drive, Suite 202, Fort Pierce, FL 34950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-09-18 |
| Domestic Profit | 2016-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
