| Entity Name: | COREY MEDICAL SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 May 1995 (30 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P95000039211 |
| FEI/EIN Number | 65-0581695 |
| Address: | 4122 PALM AVENUE, HIALEAH, FL 33012 |
| Mail Address: | 4122 PALM AVENUE, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083759757 | 2007-02-21 | 2008-07-21 | 5080 E 4TH AVE, SUITE C, HIALEAH, FL, 330131545, US | 5080 E 4TH AVE, SUITE C, HIALEAH, FL, 330131545, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-822-7989 |
| Fax | 3058225173 |
Authorized person
| Name | REINALDO IBARGUENGOITIA |
| Role | PRESIDENT |
| Phone | 3058227989 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 802 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 802 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 321878 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 951299300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 6880258 00 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | R8829 |
| State | FL |
| Issuer | HOME MEDICAL EQUIPMENT |
| Number | 802 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE SOLANO GROUP, PA | Agent | 782 NE LE JEUNE ROAD, STE 328, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| IBARGUENGOITIA, REINALDO | President | 366 E. 52 STREET, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| IBARGUENGOITIA, REINALDO | Secretary | 366 E. 52 STREET, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| IBARGUENGOITIA, REINALDO | Treasurer | 366 E. 52 STREET, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| IBARGUENGOITIA, REINALDO | Director | 366 E. 52 STREET, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-20 | 4122 PALM AVENUE, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 4122 PALM AVENUE, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-05-14 | 782 NE LE JEUNE ROAD, STE 328, MIAMI, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-05-10 | THE SOLANO GROUP, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-26 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-05-04 |
| ANNUAL REPORT | 2004-05-03 |
| ANNUAL REPORT | 2003-03-31 |
| ANNUAL REPORT | 2002-05-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
