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  5. DIABETES PROVIDERS, INC.

DIABETES PROVIDERS, INC.

Company Details

Entity Name: DIABETES PROVIDERS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 19 Apr 1995 (30 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P95000030742
FEI/EIN Number 65-0577177
Address: 880 JUPITER PARK DR., UNIT 8, JUPITER, FL 33458
Mail Address: 880 JUPITER PARK DR., UNIT 8, JUPITER, FL 33458
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316917354 2006-01-24 2008-10-08 880 JUPITER PARK DR, UNIT #8, JUPITER, FL, 334588901, US 880 JUPITER PARK DR, UNIT #8, JUPITER, FL, 334588901, US

Contacts
Phone +1 800-689-4377
Fax 8008876145

Authorized person
Name ANDREW D ONOFRIO
Role PRESIDENT OWNER
Phone 8006894377

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 04781701
State MS
Issuer MEDICAID
Number 030959100
State FL
Issuer BLUE CROSS
Number R8807
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIABETES PROVIDERS, INC. PROFIT SHARING PLAN 2013 650577177 2014-03-09 DIABETES PROVIDERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 8006894377
Plan sponsor’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2014-03-09
Name of individual signing BECKY KONG
Valid signature Filed with authorized/valid electronic signature
DIABETES PROVIDERS, INC. PROFIT SHARING PLAN 2012 650577177 2013-07-12 DIABETES PROVIDERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 8006894377
Plan sponsor’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing BECKY KONG
Valid signature Filed with authorized/valid electronic signature
DIABETES PROVIDERS, INC. PROFIT SHARING PLAN 2011 650577177 2012-08-25 DIABETES PROVIDERS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 8006894377
Plan sponsor’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458

Plan administrator’s name and address
Administrator’s EIN 650577177
Plan administrator’s name DIABETES PROVIDERS, INC.
Plan administrator’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458
Administrator’s telephone number 8006894377

Signature of
Role Plan administrator
Date 2012-08-25
Name of individual signing BECKY KONG
Valid signature Filed with authorized/valid electronic signature
DIABETES PROVIDERS, INC. PROFIT SHARING PLAN 2010 650577177 2011-05-24 DIABETES PROVIDERS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 8006894377
Plan sponsor’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458

Plan administrator’s name and address
Administrator’s EIN 650577177
Plan administrator’s name DIABETES PROVIDERS, INC.
Plan administrator’s address 880 JUPITER PARK DRIVE, #8, JUPITER, FL, 33458
Administrator’s telephone number 8006894377

Signature of
Role Plan administrator
Date 2011-05-24
Name of individual signing BECKY KONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
D'ONOFRIO, ANDREW Agent 19906 WILKINSON LEAS RD, TEQUESTA, FL 33469

Director

Name Role Address
D'ONOFRIO, ANDREW, M.ED. Director 19906 WILKINSON LEAS RD, TEQUESTA, FL 33469

President

Name Role Address
D'ONOFRIO, ANDREW, M.ED. President 19906 WILKINSON LEAS RD, TEQUESTA, FL 33469

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2006-08-03 880 JUPITER PARK DR., UNIT 8, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2006-08-03 880 JUPITER PARK DR., UNIT 8, JUPITER, FL 33458 No data
MERGER 2002-11-20 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000043143
REGISTERED AGENT ADDRESS CHANGED 2000-01-13 19906 WILKINSON LEAS RD, TEQUESTA, FL 33469 No data
REGISTERED AGENT NAME CHANGED 2000-01-13 D'ONOFRIO, ANDREW No data
NAME CHANGE AMENDMENT 1997-01-21 DIABETES PROVIDERS, INC. No data

Documents

Name Date
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-01-19
ANNUAL REPORT 2012-01-13
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-01-11
ANNUAL REPORT 2009-03-25
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-04
ANNUAL REPORT 2006-01-06
ANNUAL REPORT 2005-06-30

Related by officers

D'ONOFRIO, ANDREW

ALL-STATE INFUSION SERVICES, INC. ADVANTAGE REHAB CENTER INC. ACCLAIM HEALTH CARE SERVICES INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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