| Entity Name: | BOCA VALLEY MEDICAL SUPPLY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Sep 2021 (3 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Dec 2021 (3 years ago) |
| Document Number: | P21000081040 |
| FEI/EIN Number | 87-2650055 |
| Address: | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL, 33487, US |
| Mail Address: | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013674183 | 2021-11-23 | 2022-01-24 | 1712 E 16TH ST, BROOKLYN, NY, 112292926, US | 7491 N FEDERAL HWY STE C11, BOCA RATON, FL, 334871688, US | |||||||||||||||||
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| Phone | +1 917-952-5030 |
| Phone | +1 561-680-2030 |
| Fax | 5616802299 |
Authorized person
| Name | ALAN RAFAEL |
| Role | PRESIDENT |
| Phone | 9179525030 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAFAEL ALAN | Agent | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| RAFAEL ALAN | Authorized Member | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL, 33487 |
| DANILOV ASHIR | Authorized Member | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL, 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000118620 | BOCA MEDICAL SUPPLY | ACTIVE | 2021-09-15 | 2026-12-31 | No data | 7401 N. FEDERAL HIGHWAY,, SUITE C-11, BOCA RATON,, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-12-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-22 | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-22 | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL 33487 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-22 | 7491 N FEDERAL HWY C #11, BOCA RATON,, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-01-31 |
| Amendment | 2021-12-22 |
| Domestic Profit | 2021-09-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
