| Entity Name: | A QUALITY MEDICAL SUPPLY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Jun 1991 (34 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Oct 2017 (7 years ago) |
| Document Number: | S60508 |
| FEI/EIN Number | 65-0267735 |
| Address: | 455 East 49 Street, HIALEAH, FL 33013 |
| Mail Address: | 455 East 49 Street, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063418267 | 2005-06-22 | 2024-05-30 | 455 E 49TH ST, HIALEAH, FL, 330131867, US | 455 E 49TH ST, HIALEAH, FL, 330131867, US | |||||||||||||||||||||||||
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| Phone | +1 305-863-9537 |
| Fax | 3058639676 |
Authorized person
| Name | MR. JOSE CLERO |
| Role | CEO |
| Phone | 3058639537 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028694000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLERO, JOSE | Agent | 455 East 49 Street, Hialeah, FL 33013 |
| Name | Role | Address |
|---|---|---|
| Clero, Jose | President | 455 East 49 Street, Hialeah, FL 33013 |
| Name | Role | Address |
|---|---|---|
| Clero, Jose | Treasurer | 455 East 49 Street, Hialeah, FL 33013 |
| Name | Role | Address |
|---|---|---|
| Clero, Jose | Director | 455 East 49 Street, Hialeah, FL 33013 |
| Guerra, Elizabeth | Director | 455 East 49 Street, Hialeah, FL 33013 |
| Name | Role | Address |
|---|---|---|
| Clero, Ivan J | Vice President | 455 East 49 Street, Hialeah, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-19 | 455 East 49 Street, Hialeah, FL 33013 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-25 | 455 East 49 Street, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-25 | 455 East 49 Street, HIALEAH, FL 33013 | No data |
| AMENDMENT | 2017-10-27 | No data | No data |
| AMENDMENT | 2014-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-09-23 | CLERO, JOSE | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001183483 | TERMINATED | 1000000303164 | MIAMI-DADE | 2013-06-25 | 2033-07-17 | $ 2,545.82 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-07-04 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-09-14 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-30 |
| Amendment | 2017-10-27 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
