| Entity Name: | PROFESSIONAL MEDICAL EQUIPMENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Aug 1993 (31 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P93000056947 |
| FEI/EIN Number | 65-0433527 |
| Address: | 8433 SW 132ND STREET, PINECREST, FL 33156 |
| Mail Address: | 8433 SW 132ND STREET, PINECREST, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1871575423 | 2005-11-18 | 2020-08-22 | 8433 SW 132ND ST, MIAMI, FL, 331566505, US | 8433 SW 132ND ST, MIAMI, FL, 331566505, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-232-3470 |
| Fax | 3052328170 |
| Fax | 3052323470 |
Authorized person
| Name | DANIEL E MARTINEZ |
| Role | PRESIDENT |
| Phone | 3052323470 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 603 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 603 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| License Number | 603 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 603 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 603 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS OF FLORIDA |
| Number | R7773 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFESSIONAL MEDICAL EQUIPMENT SERVICES PROFIT SHARING PLAN AND TRUST | 2010 | 650433527 | 2011-07-13 | PROFESSIONAL MEDICAL EQUIPMENT SERVICES INC | 3 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650433527 |
| Plan administrator’s name | PROFESSIONAL MEDICAL EQUIPMENT SERVICES INC |
| Plan administrator’s address | 14525 SW 84TH AVE, PALMETTO BAY, FL, 331581414 |
| Administrator’s telephone number | 3052987154 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 3 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-13 |
| Name of individual signing | DANIEL MARTINEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 423400 |
| Sponsor’s telephone number | 3052987154 |
| Plan sponsor’s mailing address | 14525 SW 84TH AVE, PALMETTO BAY, FL, 331581414 |
| Plan sponsor’s address | 14525 SW 84TH AVE, PALMETTO BAY, FL, 331581414 |
Plan administrator’s name and address
| Administrator’s EIN | 650433527 |
| Plan administrator’s name | PROFESSIONAL MEDICAL EQUIPMENT SERVICES INC |
| Plan administrator’s address | 14525 SW 84TH AVE, PALMETTO BAY, FL, 331581414 |
| Administrator’s telephone number | 3052987154 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 3 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-21 |
| Name of individual signing | DANIEL MARTINEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, DANIEL E | Agent | 14525 SW 84 AVE, PALMETTO BAY, FL 33158 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, DANIEL E | President | 14525 SW 84 AVE, PALMETTO BAY, FL 33158 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, DANIEL E | Director | 14525 SW 84 AVE, PALMETTO BAY, FL 33158 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2006-11-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-11-13 | 8433 SW 132ND STREET, PINECREST, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2006-11-13 | 8433 SW 132ND STREET, PINECREST, FL 33156 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-05 | 14525 SW 84 AVE, PALMETTO BAY, FL 33158 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-04-17 |
| Amendment | 2006-11-13 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-01-05 |
| ANNUAL REPORT | 2004-01-05 |
| ANNUAL REPORT | 2003-02-05 |
| ANNUAL REPORT | 2002-01-15 |
| ANNUAL REPORT | 2001-06-08 |
| ANNUAL REPORT | 2000-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
