| Entity Name: | ALTAGRACE MEDICAL SUPPLIES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 May 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P20000033642 |
| FEI/EIN Number | 85-0954552 |
| Address: | 1915 NE 45TH STREET, SUITE 109, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 1915 NE 45TH STREET, SUITE 109, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699397075 | 2020-05-08 | 2021-02-22 | 1915 NE 45TH ST STE 109, FORT LAUDERDALE, FL, 333085118, US | 1915 NE 45TH ST STE 109, FORT LAUDERDALE, FL, 333085118, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 754-779-7210 |
Authorized person
| Name | JACCIN JEAN-BAPTISTE |
| Role | PRESIDENT |
| Phone | 7547797210 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEAN-BAPTISTE JACCIN | Agent | 1915 NE 45TH STREET, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| JEAN-BAPTISTE JACCIN | President | 3651 TURTLE RUN BLVD, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000433621 | ACTIVE | 1000001002132 | BROWARD | 2024-07-05 | 2044-07-10 | $ 12,090.75 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J23000434019 | ACTIVE | 1000000963385 | BROWARD | 2023-09-05 | 2043-09-13 | $ 32,910.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J21000393425 | ACTIVE | 1000000897284 | BROWARD | 2021-08-02 | 2041-08-04 | $ 4,296.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2021-01-20 |
| Domestic Profit | 2020-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
