| Entity Name: | PRO HOME MEDICAL EQUIPMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Jul 1996 (29 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P96000059671 |
| FEI/EIN Number | 65-0682714 |
| Address: | 2187 SIESTA DRIVE, SARASOTA, FL 34239 |
| Mail Address: | 2187 SIESTA DRIVE, SARASOTA, FL 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609984970 | 2006-08-28 | 2008-04-28 | 2187 SIESTA DR, SARASOTA, FL, 342395235, US | 2187 SIESTA DRIVE, SARASOTA, FL, 34239, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 941-365-1499 |
| Fax | 9413653929 |
Authorized person
| Name | MR. TRAVIS PATRICK RODGERS JR. |
| Role | OWNER |
| Phone | 9413651499 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 911 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | M2395 |
| State | FL |
| Issuer | MEDICAID |
| Number | 026523300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODGERS, T. PATRICK JR | Agent | 4195 S. SHADE AVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| RODGERS, T. PATRICK JR. | President | 4195 S SHADE AVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| RODGERS, T. PATRICK JR. | Secretary | 4195 S SHADE AVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| RODGERS, T. PATRICK JR. | Treasurer | 4195 S SHADE AVE, SARASOTA, FL 34231 |
| Name | Role | Address |
|---|---|---|
| RODGERS, T. PATRICK JR. | Director | 4195 S SHADE AVE, SARASOTA, FL 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2011-01-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-12 | 4195 S. SHADE AVE, SARASOTA, FL 34231 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-12 | RODGERS, T. PATRICK JR | No data |
| NAME CHANGE AMENDMENT | 2005-11-30 | PRO HOME MEDICAL EQUIPMENT, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2002-01-22 | 2187 SIESTA DRIVE, SARASOTA, FL 34239 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-01-22 | 2187 SIESTA DRIVE, SARASOTA, FL 34239 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000922848 | LAPSED | 2013CA7961NC | 12TH JUD CIRCUIT, SARASOTA | 2014-06-30 | 2019-10-17 | $53,486.38 | STEARNS BANK, 22 S. LINKS AVENUE, SARASOTA, FL 34236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-05-09 |
| ANNUAL REPORT | 2012-04-12 |
| REINSTATEMENT | 2011-01-04 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-01-09 |
| ANNUAL REPORT | 2007-02-12 |
| ANNUAL REPORT | 2006-05-01 |
| Name Change | 2005-11-30 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
