| Entity Name: | CLEARWATER MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jun 2018 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P18000055145 |
| FEI/EIN Number | 83-0970523 |
| Address: | 4707 140TH AVE N, 312, CLEARWATER, FL, 33762, US |
| Mail Address: | 4707 140TH AVE N, 312, CLEARWATER, FL, 33762, US |
| ZIP code: | 33762 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023502184 | 2018-06-21 | 2019-03-02 | 4707 140TH AVE N STE 312, CLEARWATER, FL, 337623841, US | 4707 140TH AVE N STE 312, CLEARWATER, FL, 33762, US | |||||||||||||
|
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| Phone | +1 727-754-4341 |
Authorized person
| Name | ANISOV VITALIV |
| Role | OWNER |
| Phone | 7277544341 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANISOV VITALIY | Agent | 4707 140TH AVE N, CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| VITALIY ANISOV | President | 4707 140TH AVE N, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-13 | ANISOV, VITALIY | No data |
| AMENDMENT | 2018-12-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-08 |
| Reg. Agent Change | 2019-02-13 |
| Amendment | 2018-12-19 |
| Domestic Profit | 2018-06-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
