Entity Name: | ALL FLORIDA MEDICAL SUPPLIES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 28 Nov 1994 (30 years ago) |
Document Number: | P94000086614 |
FEI/EIN Number | 650536636 |
Address: | ALL FLORIDA MEDICAL SUPPLIES, 2165B WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33445, US |
Mail Address: | ALL FLORIDA MEDICAL SUPPLIES, 2165B WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33445, US |
ZIP code: | 33445 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326150830 | 2006-08-31 | 2009-01-15 | 601 N CONGRESS AVENUE, BLDG 6 UNIT 606, DELRAY BEACH, FL, 334454646, US | 601 N CONGRESS AVENUE, BLDG 6 UNIT 606, DELRAY BEACH, FL, 334454646, US | |||||||||||||||||||||||
|
Phone | +1 561-272-0207 |
Fax | 5612726164 |
Authorized person
Name | MR. WILLIAM C MARTINI |
Role | OWNER CEO |
Phone | 5612720207 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 833 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | R8509 |
Name | Role | Address |
---|---|---|
FORD DAVID | Agent | 2165B WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33445 |
Name | Role | Address |
---|---|---|
GUST ALAN S | Director | 16592 84TH COURT NORTH, LOXAHATCHEE, FL, 33470 |
GUST ELLEN M | Director | 16592 84TH COURT NORTH, LOXAHATCHEE, FL, 33470 |
FORD DAVID | Director | 128 VAN GOGH WAY, ROYAL PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
GUST ALAN S | Vice President | 16592 84TH COURT NORTH, LOXAHATCHEE, FL, 33470 |
Name | Role | Address |
---|---|---|
GUST ELLEN M | Secretary | 16592 84TH COURT NORTH, LOXAHATCHEE, FL, 33470 |
Name | Role | Address |
---|---|---|
FORD DAVID | President | 128 VAN GOGH WAY, ROYAL PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
GUST ELLEN M | Treasurer | 16592 84TH COURT NORTH, LOXAHATCHEE, FL, 33470 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State