| Entity Name: | GISELLE MEDICAL SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Feb 1995 (30 years ago) |
| Document Number: | P95000012439 |
| FEI/EIN Number | 650555044 |
| Address: | 13275 SW 136TH STREET, OFFICE #13, MIAMI, FL, 33186, US |
| Mail Address: | 13275 SW 136TH STREET, OFFICE #13, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447291281 | 2006-06-10 | 2008-01-07 | 13275 SW 136TH ST, UNIT # 13, MIAMI, FL, 331865825, US | 13275 SW 136TH ST UNIT 13, MIAMI, FL, 331865825, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-667-1215 |
| Fax | 3056671249 |
Authorized person
| Name | MR. NESTOR V GODOY |
| Role | PRESIDENT |
| Phone | 3056671215 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | EPA ACCREDITATION |
| Number | 001250 |
| State | FL |
| Issuer | OXYGEN LICENSE |
| Number | 32 4397 |
| State | FL |
| Issuer | AHCA LICENSE |
| Number | 307 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SILVERBERG PAUL K | Agent | SILVERBERG & ASSOCIATES, PA, WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| GODOY NESTOR | President | 13275 SW 136TH STREET, OFFICE #13, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| GODOY NESTOR | Director | 13275 SW 136TH STREET, OFFICE #13, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2005-05-03 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000595616 | LAPSED | 11-12868 CA 09 | MIAMI DADE COUNTY | 2011-07-06 | 2016-09-16 | $21,639.92 | SPEC MEDICAL INC., 4710 SW 74TH AVE., MIAMI, FL. 33155 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
