Entity Name: | EVERGLADES MEDICAL SUPPLY INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 03 Jun 2024 (8 months ago) |
Document Number: | P24000038142 |
Address: | 750 EAST SAMPLE ROAD, BUILDING 2- UNIT 206, POMPANO BEACH, FL 33064 |
Mail Address: | 750 EAST SAMPLE ROAD, BUILDING 2- UNIT 206, POMPANO BEACH, FL 33064 |
ZIP code: | 33064 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053157230 | 2024-07-08 | 2024-08-07 | 750 E SAMPLE RD STE 2-206, POMPANO BEACH, FL, 330645136, US | 750 E SAMPLE RD STE 2-206, POMPANO BEACH, FL, 330645136, US | |||||||||||||||
|
Phone | +1 954-598-3010 |
Phone | +1 954-532-1740 |
Authorized person
Name | DANTE B HINES |
Role | PRESIDENT |
Phone | 9545321740 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HINES, DANTE | Agent | 418 SW 20TH AVE, FORT LAUDERDALE, FL 33312 |
Name | Role | Address |
---|---|---|
HINES, DANTE B | President | 3042 SAN CARLOS DRIVE, MARGATE, FL 33063 |
Name | Date |
---|---|
Domestic Profit | 2024-06-03 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State