| Entity Name: | PRESTINE MEDICAL SUPPLIES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Mar 2020 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P20000023278 |
| FEI/EIN Number | 84-5133617 |
| Address: | 351 S CYPRESS RD, suite 317, POMPANO BEACH, FL 33060 |
| Mail Address: | 351 S CYPRESS RD, 317, POMPANO BEACH, FL 33060 |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134756695 | 2020-03-25 | 2020-04-01 | 351 S CYPRESS RD, POMPANO BEACH, FL, 330607177, US | 351 S CYPRESS RD STE 317, POMPANO BEACH, FL, 330607167, US | |||||||||||||
|
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| Phone | +1 954-627-2491 |
Authorized person
| Name | HEYDIE MALDONADO CARABALLO |
| Role | PRESIDENT |
| Phone | 7542228274 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARABALLO, HEYDIE | Agent | 351 S CYPRESS RD, 317, POMPANO BEACH, FL 33060 |
| Name | Role | Address |
|---|---|---|
| CARABALLO, HEYDIE | President | 351 S CYPRESS RD SUITE 317, POMPANO BEACH, FL 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-23 | 351 S CYPRESS RD, suite 317, POMPANO BEACH, FL 33060 | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2020-03-16 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
