Entity Name: | BELTMART SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Feb 1996 (29 years ago) |
Document Number: | P96000017856 |
FEI/EIN Number | 650649681 |
Mail Address: | 8346 NW SOUTH RIVER DRIVE, UNIT A, MEDLEY, FL, 33166, US |
Address: | 8346 NW South River Drive, Unit A, MEDLEY, FL, 33166, US |
ZIP code: | 33166 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962558858 | 2007-01-25 | 2013-01-30 | 8346 NW SOUTH RIVER DR, UNIT A, MEDLEY, FL, 331667446, US | 8346 NW SOUTH RIVER DR, UNIT A, MEDLEY, FL, 331667446, US | |||||||||||||||||||||||||
|
Phone | +1 305-885-4343 |
Fax | 3058854370 |
Authorized person
Name | MRS. NANCY E HERNANDEZ |
Role | PRESIDENT |
Phone | 3058854343 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 830 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 951991200 |
State | FL |
Name | Role | Address |
---|---|---|
HERNANDEZ NANCY E | Agent | 8346 NW SOUTH RIVER DRIVE, MEDLEY, FL, 33166 |
Name | Role | Address |
---|---|---|
HERNANDEZ NANCY E. | Vice President | 8346 NW SOUTH RIVER DR UNIT A, MEDLEY, FL, 33166 |
Name | Role | Address |
---|---|---|
HERNANDEZ NANCY E. | Director | 8346 NW SOUTH RIVER DR UNIT A, MEDLEY, FL, 33166 |
Name | Role | Address |
---|---|---|
PEREZ JUAN CARLOS | President | 8346 NW SOUTH RIVER DR UNIT A, MEDLEY, FL, 33166 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
AMENDMENT | 2015-10-08 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State