| Entity Name: | MOUNT SION MEDICAL EQUIPMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Dec 1994 (30 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P94000092601 |
| FEI/EIN Number | 65-0542157 |
| Address: | 12587 NW 7 AVE, NORTH MIAMI, FL 33168 |
| Mail Address: | 12587 NW 7 AVE, NORTH MIAMI, FL 33168 |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386609485 | 2006-04-20 | 2011-04-27 | 12587 NW 7TH AVE, NORTH MIAMI, FL, 331682619, US | 12587 NW 7TH AVE, NORTH MIAMI, FL, 331682619, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-953-3530 |
| Fax | 3059533531 |
Authorized person
| Name | MANUEL FONSECA |
| Role | PRESIDENT |
| Phone | 3059533530 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BOC |
| Number | S16780 |
| State | FL |
| Issuer | AHCA |
| Number | 787 |
| State | FL |
| Issuer | MEDICAID |
| Number | 950981000 |
| State | FL |
| Issuer | OXYGEN RETAILER LICENSE |
| Number | 321711 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FONSECA, MANUEL | Agent | 12587 NW 7 AVE, N. MIAMI, FL 33168 |
| Name | Role | Address |
|---|---|---|
| FONSECA, MANUEL | President | 12587 NW 7TH AVE, NORTH MIAMI, FL 33168 |
| Name | Role | Address |
|---|---|---|
| FONSECA, MIRNA S | Vice President | 12587 NW 7TH AVE, NORTH MIAMI, FL 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-21 | 12587 NW 7 AVE, N. MIAMI, FL 33168 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-03 | 12587 NW 7 AVE, NORTH MIAMI, FL 33168 | No data |
| CHANGE OF MAILING ADDRESS | 2005-05-03 | 12587 NW 7 AVE, NORTH MIAMI, FL 33168 | No data |
| AMENDMENT | 1996-08-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-03-11 |
| ANNUAL REPORT | 2010-01-21 |
| ANNUAL REPORT | 2009-01-08 |
| ANNUAL REPORT | 2008-03-13 |
| ANNUAL REPORT | 2007-04-04 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-05-03 |
| ANNUAL REPORT | 2004-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
