| Entity Name: | GRACE MED SUPPLY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jun 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: | P20000048205 |
| FEI/EIN Number | 85-1826293 |
| Address: | 5701 NW 88TH AVE, SUITE 260-A, TAMARAC, FL 33321 |
| Mail Address: | 5701 NW 88th Ave, Suite 260-A, TAMARAC, FL 33321 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003424888 | 2020-07-17 | 2020-07-17 | 5701 NW 88TH AVE STE 260A, TAMARAC, FL, 333214440, US | 5701 NW 88TH AVE STE 260A, TAMARAC, FL, 333214440, US | |||||||||||||
|
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| Phone | +1 954-366-5453 |
Authorized person
| Name | ANDRES MALDONADO |
| Role | OWNER |
| Phone | 9543665453 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALDONADO, ANDRES | Agent | 5701 NW 88th Ave, Suite 260-A, TAMARAC, FL 33321 |
| Name | Role | Address |
|---|---|---|
| MALDONADO, ANDRES | President | 5701 NW 88TH AVE, SUITE 260-A TAMARAC, FL 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-30 | 5701 NW 88TH AVE, SUITE 260-A, TAMARAC, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-30 | 5701 NW 88TH AVE, SUITE 260-A, TAMARAC, FL 33321 | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2020-06-25 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
