| Entity Name: | BLUE LEAF MED SUPPLIES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Apr 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P22000032418 |
| Address: | 313 PALM AVE, HIALEAH, FL 33010 |
| Mail Address: | 313 PALM AVE, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356070007 | 2022-06-08 | 2022-06-08 | 313 PALM AVE, HIALEAH, FL, 330104715, US | 313 PALM AVE, HIALEAH, FL, 330104715, US | |||||||||||||
|
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| Phone | +1 786-470-9144 |
Authorized person
| Name | MR. ANTONIO TAMAYO |
| Role | PRESIDENT |
| Phone | 7869078122 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOYA TAGLE, PEDRO L | Agent | 200 E 8 STREET, APTO 204, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| TAMAYO, ANTONIO | BP | 313 PALM AVENUE, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| MOYA TAGLE, PEDRO L | President | 200 E 8 STREET APTO 204, HIALEAH, FL 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| AMENDMENT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-23 | MOYA TAGLE, PEDRO L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-23 | 200 E 8 STREET, APTO 204, HIALEAH, FL 33010 | No data |
| AMENDMENT | 2022-06-01 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2022-09-23 |
| Amendment | 2022-06-01 |
| Domestic Profit | 2022-04-29 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
