| Entity Name: | PERSONAL PULMONARY HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Feb 1992 (33 years ago) |
| Document Number: | V12758 |
| FEI/EIN Number | 593106252 |
| Address: | 2468 US HWY 441/27, UNIT 203, FRUITLAND PARK, FL, 34731, US |
| Mail Address: | 2468 US HWY 441/27, UNIT 203, FRUITLAND PARK, FL, 34731, US |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689740318 | 2006-11-27 | 2017-03-09 | 835 S. HWY 441, LADY LAKE, FL, 32159, US | 835 S. HWY. 441, LADY LAKE, FL, 32159, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-343-8888 |
| Fax | 3523435386 |
Authorized person
| Name | LORI KAPLAN |
| Role | PRESIDENT |
| Phone | 3523438888 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 484 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS SUPPLIER NUMBER |
| Number | R7027 |
| State | FL |
| Issuer | MEDICAID |
| Number | 029142100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHIELDS BOBBY LESQ. | Agent | 2350 NW 36 AVE., COCONUT CREEK, FL, 33066 |
| Name | Role | Address |
|---|---|---|
| KAPLAN LORI | Director | 835 S. HWY 441, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| KAPLAN LORI | Treasurer | 835 S. HWY 441, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| KAPLAN LORI | President | 835 S. HWY 441, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| KAPLAN LORI | Secretary | 835 S. HWY 441, LADY LAKE, FL, 32159 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000028501 | BB RESPIRATORY | EXPIRED | 2017-03-17 | 2022-12-31 | No data | 835 S. US HWY 27, LADY LAKE, FL, 32159 |
| G15000096212 | THE MEDICINE CHEST-TRADING POST | EXPIRED | 2015-09-18 | 2020-12-31 | No data | 835 S. US HWY. 441, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2014-10-30 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000704898 | LAPSED | CACE-19-020308 | BROWARD COUNTY COURTHOUSE | 2019-08-19 | 2024-10-29 | $17,698.39 | NAVITAS CREDIT CORP., 814 A1A NORTH, SUITE 205, PONTE VEDRA BEACH, FL 33082 |
| J19000354462 | LAPSED | 2018CA002405 | LAKE COUNTY CIRCUIT COURT CLER | 2019-04-29 | 2024-05-21 | $39,580.76 | FISHER & PAYKEL HEALTHCARE, INC., A CALIFORNIA CORP., 173 TECHNOLOGY DR., #100, IRVINE, CA 92618 |
| J19000317311 | LAPSED | 352018CA002529A | LAKE COUNTY CIRCUIT COURT CLER | 2019-04-16 | 2024-05-07 | $202,263.33 | RESMED CORP., A MINNESOTA CORPORATION, AUTHORIZED TO DO, 9001 SPECTRUM CENTER BLVD., SAN DIEGO, CA 92123 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
