Entity Name: | SOUTHWEST MOBILITY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 24 Oct 1996 (28 years ago) |
Document Number: | P96000087980 |
FEI/EIN Number | 593436933 |
Address: | 1141 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168, US |
Mail Address: | 1141 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168, US |
ZIP code: | 32168 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730105958 | 2006-07-14 | 2010-04-16 | 1972 STATE ROAD 44, NEW SMYRNA BEACH, FL, 321688349, US | 335 SEMORAN BLVD, SUITE 127, FERN PARK, FL, 327302782, US | |||||||||||||||||||||||||
|
Phone | +1 386-426-5069 |
Fax | 3864266292 |
Phone | +1 407-975-0800 |
Fax | 4079750833 |
Authorized person
Name | MRS. SABRINA FARMER |
Role | SECRETARY |
Phone | 3864262970 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 022312300 |
State | FL |
Name | Role | Address |
---|---|---|
PIO MARGARET MESQ. | Agent | 4 OLD KINGS ROAD NORTH, PALM COAST, FL, 32137 |
Name | Role | Address |
---|---|---|
FARMER BRUCE E | Owner | 209 RANKEN DRIVE, EDGEWATER, FL, 32141 |
Name | Role | Address |
---|---|---|
FARMER BRUCE | President | 209 RANKEN DR, EDGEWATER, FL, 32141 |
Name | Role | Address |
---|---|---|
FARMER DAVID | Vice President | 209 RANKEN DR, EDGEWATER, FL, 32141 |
Name | Role | Address |
---|---|---|
FARMER SABRINA | Secretary | 209 RANKEN DR, EDGEWATER, FL, 32141 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000041175 | SCOOTER MOBILITY CENTER | EXPIRED | 2012-05-03 | 2017-12-31 | No data | 1141 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2013-04-16 | No data | No data |
AMENDMENT | 2006-06-07 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J14000187632 | LAPSED | 2013 10900 CIDL | CIR CT 7TH JUD VOLUSIA CTY FL | 2013-03-13 | 2019-02-24 | $267,064.21 | PRIDE MOBILITY PRODUCTS CORPORATION, 182 SUSQUEHANNA AVE., EXETOR, PA 32137 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State