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PEGASUS AIRWAVE INC. - Florida Company Profile

Branch

Company Details

Entity Name: PEGASUS AIRWAVE INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Oct 1988 (37 years ago)
Branch of: PEGASUS AIRWAVE INC., ILLINOIS (Company Number CORP_55226989)
Date of dissolution: 30 Jan 2012 (13 years ago)
Last Event: WITHDRAWAL
Event Date Filed: 30 Jan 2012 (13 years ago)
Document Number: P21323
FEI/EIN Number 363606414

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1180 SW 36 AVE, RM 103, POMPANO BEACH, FL, 33069, US
Mail Address: 2349 W. LAKE STREET, SUITE 250, ADDISON, IL, 60101, US
ZIP code: 33069
County: Broward
Place of Formation: ILLINOIS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710934757 2006-05-27 2008-11-05 1180 S.W. 36TH AVE., SUITE 103, POMPANO BEACH, FL, 33069, US 1180 S.W. 36TH AVE., SUITE 103, POMPANO BEACH, FL, 33069, US

Contacts

Phone +1 954-975-6808
Fax 9542524210

Authorized person

Name MRS. LORRIE A FRENCH
Role DIRECTOR OF OPERATIONS
Phone 9549756808

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1277
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 011388801
State TX
Issuer MEDICAID
Number 0897785
State OH
Issuer MEDICAID
Number 9038381
State WA
Issuer MEDICAID
Number DM0190
State SC
Issuer MEDICAID
Number 01169240
State NY
Issuer MEDICAID
Number 100473190A
State IN
Issuer MEDICAID
Number 1532162
State MA
Issuer MEDICAID
Number 193026100
State MD
Issuer MEDICAID
Number 9607650
State AL
Issuer MEDICAID
Number 18340001
State AZ
Issuer MEDICAID
Number 2874553
State MI
Issuer MEDICAID
Number DME01951F
State CA
Issuer MEDICAID
Number 004144325
State CT
Issuer MEDICAID
Number 08002180
State CO
Issuer MEDICAID
Number 25167400
State FL
Issuer MEDICAID
Number 00528668A
State GA
Issuer MEDICAID
Number 9108122
State VA
Issuer MEDICAID
Number 9100192
State WV

Key Officers & Management

Name Role Address
CROXFORD PHIL President 2349 W LAKE ST STE 250, ADDISON, IL, 60101
WESNER DAVID Secretary 2349 W. LAKE STREET, ADDISON, IL, 60101
JENSEN GARY Treasurer 2349 W. LAKE STREET, ADDISION, IL, 60101

Events

Event Type Filed Date Value Description
WITHDRAWAL 2012-01-30 - -
CHANGE OF PRINCIPAL ADDRESS 2011-02-18 1180 SW 36 AVE, RM 103, POMPANO BEACH, FL 33069 -
CHANGE OF MAILING ADDRESS 2011-02-18 1180 SW 36 AVE, RM 103, POMPANO BEACH, FL 33069 -
CANCEL ADM DISS/REV 2010-02-08 - -
REVOKED FOR ANNUAL REPORT 2009-09-25 - -
REINSTATEMENT 2006-05-30 - -
REVOKED FOR ANNUAL REPORT 2005-09-16 - -
CANCEL ADM DISS/REV 2004-10-22 - -
REVOKED FOR ANNUAL REPORT 2004-10-01 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J06000258314 TERMINATED 1000000035831 20999 00143 2006-10-24 2011-11-08 $ 13,395.75 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 1379 BLOUNTSTOWN HWY, TALLAHASSEE FL323042716

Documents

Name Date
Withdrawal 2012-01-30
ANNUAL REPORT 2011-02-18
REINSTATEMENT 2010-02-08
ANNUAL REPORT 2008-06-24
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2007-04-24
REINSTATEMENT 2006-05-30
REINSTATEMENT 2004-10-22
ANNUAL REPORT 2003-07-21
ANNUAL REPORT 2002-11-04

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA506C91220 2009-07-18 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA506C91220_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title BED RENTAL FOR ANN ARBOR
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V546P92143 2008-12-26 2008-12-26 2008-12-26
Unique Award Key CONT_AWD_V546P92143_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C91150 2008-11-03 2008-12-01 2008-12-01
Unique Award Key CONT_AWD_V506C91150_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title MATTRESS RENTAL
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81564 2008-09-25 2008-10-05 2008-10-05
Unique Award Key CONT_AWD_V506C81564_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81559 2008-09-22 2008-10-02 2008-10-02
Unique Award Key CONT_AWD_V506C81559_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81558 2008-09-19 2008-10-02 2008-10-02
Unique Award Key CONT_AWD_V506C81558_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81557 2008-09-18 2008-09-28 2008-09-28
Unique Award Key CONT_AWD_V506C81557_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81550 2008-09-16 2008-09-26 2008-09-26
Unique Award Key CONT_AWD_V506C81550_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81551 2008-09-16 2008-09-26 2008-09-26
Unique Award Key CONT_AWD_V506C81551_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES
DO AWARD V506C81541 2008-09-12 2008-10-02 2008-10-02
Unique Award Key CONT_AWD_V506C81541_3600_V797P4372A_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SMALL PURCHASE DATA
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE-RENT OF MEDICAL-DENTAL-VET EQ

Recipient Details

Recipient PEGASUS AIRWAVE INC.
UEI E4PWLK9J5AS8
Legacy DUNS 197035330
Recipient Address 791 PARK OF COMMERCE BLVD, BOCA RATON, 334873633, UNITED STATES

Date of last update: 01 Apr 2025

Sources: Florida Department of State