| Entity Name: | FLORIDA PROFESSIONAL DME, CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Jul 1995 (30 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P95000051533 |
| FEI/EIN Number | 65-0591864 |
| Address: | 10454 NW 31 TERR, MIAMI, FL 33172 |
| Mail Address: | 10454 NW 31 TERR, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417006651 | 2007-01-09 | 2018-06-20 | 10454 NW 31ST TER, DORAL, FL, 331721200, US | 10454 NW 31ST TER, DORAL, FL, 331721200, US | |||||||||||||||||||||||||
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| Phone | +1 305-461-0610 |
| Fax | 3054614905 |
Authorized person
| Name | SERGIO A BETANCOURT |
| Role | VICE-PRESIDENT |
| Phone | 3054610610 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | HME 260 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROV NUMBER |
| Number | R8410 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BETANCOURT, NAYIBE | Agent | 10454 NW 31 TERR, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| BETANCOURT, NAYIBE | President | 10454 NW 31 TERR, MIAMI, FL 33172 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000031802 | F.P.D. MEDICAL EQUIPMENT | EXPIRED | 2011-03-30 | 2016-12-31 | No data | 10454 NW 31 TERR, DORAL, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-25 | 10454 NW 31 TERR, MIAMI, FL 33172 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-25 | 10454 NW 31 TERR, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 10454 NW 31 TERR, MIAMI, FL 33172 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-25 | BETANCOURT, NAYIBE | No data |
| REINSTATEMENT | 2000-10-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| REINSTATEMENT | 1999-11-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-19 |
| Off/Dir Resignation | 2010-03-30 |
| Reg. Agent Resignation | 2010-03-30 |
| ANNUAL REPORT | 2009-10-14 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-01-09 |
| ANNUAL REPORT | 2006-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
