| Entity Name: | LIGHTHOUSE MED SUPPLIES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 2020 (4 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: | P20000069015 |
| FEI/EIN Number | 85-2958239 |
| Address: | 10211 W. SAMPLE RD., SUITE 202, CORAL SPRINGS, FL, 33065, US |
| Mail Address: | 10211 W. SAMPLE RD., SUITE 202, CORAL SPRINGS, FL, 33065, US |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538775911 | 2020-09-21 | 2020-09-21 | 10211 W SAMPLE RD STE 100, CORAL SPRINGS, FL, 330653966, US | 10211 W SAMPLE RD STE 100, CORAL SPRINGS, FL, 330653966, US | |||||||||||||
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| Phone | +1 754-225-8775 |
Authorized person
| Name | CALEB ESPINOZA |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9547097959 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Zambrana Andres | Agent | 10211 W. SAMPLE RD., CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| ZAMBRANA ANDRES | President | 10211 W. SAMPLE RD., CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| AMENDMENT | 2021-06-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-23 | 10211 W. SAMPLE RD., SUITE 202, CORAL SPRINGS, FL 33065 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-23 | 10211 W. SAMPLE RD., SUITE 202, CORAL SPRINGS, FL 33065 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-03 | Zambrana, Andres | No data |
| AMENDMENT | 2021-04-15 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2021-06-23 |
| AMENDED ANNUAL REPORT | 2021-06-03 |
| AMENDED ANNUAL REPORT | 2021-04-26 |
| Amendment | 2021-04-15 |
| AMENDED ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2021-02-02 |
| Domestic Profit | 2020-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
