| Entity Name: | PREFERED MEDICAL EQUIPMENT SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Sep 1999 (25 years ago) |
| Date of dissolution: | 08 May 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 May 2007 (18 years ago) |
| Document Number: | P99000084469 |
| FEI/EIN Number | 650951399 |
| Address: | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| Mail Address: | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881686830 | 2005-08-16 | 2020-08-22 | 3675 DAVIE BLVD, FT LAUDERDALE, FL, 333123439, US | 3675 DAVIE BLVD, FT LAUDERDALE, FL, 333123439, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-321-3555 |
| Fax | 9543215477 |
Authorized person
| Name | MRS. MERCEDES RODRIGUEZ |
| Role | PRESIDENT/OWNER |
| Phone | 9543213555 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | AHCA HME LIC #316 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OUT OF NETWORK |
| Number | M2573 |
| Name | Role | Address |
|---|---|---|
| ROSADO NITZA | Agent | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ROSADO NITZA | President | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ROSADO NITZA | Secretary | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ROSADO NITZA | Director | 3675 DAVIE BLVD, FORT LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-05-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-03-19 | ROSADO, NITZA | No data |
| AMENDMENT | 2007-03-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-06-09 | 3675 DAVIE BLVD, FORT LAUDERDALE, FL 33312 | No data |
| AMENDMENT | 2006-06-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-30 | 3675 DAVIE BLVD, FORT LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2002-04-30 | 3675 DAVIE BLVD, FORT LAUDERDALE, FL 33312 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2007-05-08 |
| Amendment | 2007-03-19 |
| Amendment | 2006-06-09 |
| ANNUAL REPORT | 2006-04-18 |
| ANNUAL REPORT | 2005-04-01 |
| ANNUAL REPORT | 2004-04-01 |
| ANNUAL REPORT | 2003-03-18 |
| ANNUAL REPORT | 2002-04-30 |
| ANNUAL REPORT | 2001-03-28 |
| ANNUAL REPORT | 2000-04-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
