| Entity Name: | SUNBELT MEDICAL SUPPLY & OXYGEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Nov 1998 (26 years ago) |
| Document Number: | P98000100925 |
| FEI/EIN Number | 651115789 |
| Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Mail Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326439563 | 2015-02-10 | 2021-09-30 | 3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US | 1226 WINTER GARDEN VINELAND RD STE 112, WINTER GARDEN, FL, 347874451, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-206-0040 |
| Fax | 4072060010 |
| Phone | +1 352-708-5554 |
| Fax | 4073160133 |
Authorized person
| Name | STEPHEN P GRIGGS |
| Role | CREDENTIALING SPECIALIST |
| Phone | 4072060040 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015508500 |
| State | FL |
| Name | Role |
|---|---|
| UNITED CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Foster Suzanne | President | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Name | Role | Address |
|---|---|---|
| Russalesi Wendy | CHIE | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA, 19462 |
| Name | Role | Address |
|---|---|---|
| CLEMENS JASON | Treasurer | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, FL, 19462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000092599 | AEROCARE | ACTIVE | 2014-09-10 | 2029-12-31 | No data | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA, 19462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-14 | UNITED CORPORATE SERVICES, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-14 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-13 |
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-04 |
| AMENDED ANNUAL REPORT | 2022-10-18 |
| Reg. Agent Change | 2022-10-14 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-01 |
| AMENDED ANNUAL REPORT | 2019-05-24 |
| ANNUAL REPORT | 2019-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
