| Entity Name: | SUN MEDICAL SUPPLY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Apr 1992 (33 years ago) |
| Date of dissolution: | 19 Sep 2003 (21 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 19 Sep 2003 (21 years ago) |
| Document Number: | V31910 |
| FEI/EIN Number | 59-3120480 |
| Address: | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 |
| Mail Address: | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306872809 | 2006-06-25 | 2020-08-22 | 2045 12TH ST, SARASOTA, FL, 342372701, US | 1455 E VENICE AVE, VENICE, FL, 342923075, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-954-9066 |
| Fax | 9419532993 |
| Phone | +1 941-486-8440 |
| Fax | 9414869068 |
Authorized person
| Name | MISS DEAN KUSHIM |
| Role | PRESIDENT |
| Phone | 9419549066 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 477 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER # |
| Number | M1066 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOEBING, ROBERT J | Agent | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 |
| Name | Role | Address |
|---|---|---|
| HOEBING, ROBERT J | Vice President | 411 BARCLAY AVE, ORLANDO, FL 32711 |
| Name | Role | Address |
|---|---|---|
| SHEETZ, DANNY | President | 7135-237 YACHT BASIN AVE, ORLANDO, FL 32835 |
| Name | Role | Address |
|---|---|---|
| SHEETZ, DANNY | Secretary | 7135-237 YACHT BASIN AVE, ORLANDO, FL 32835 |
| Name | Role | Address |
|---|---|---|
| SHEETZ, DANNY | Treasurer | 7135-237 YACHT BASIN AVE, ORLANDO, FL 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-02-21 | HOEBING, ROBERT J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-21 | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 | No data |
| REINSTATEMENT | 2002-02-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-08-02 | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2000-08-02 | 411 BARCLAY AVE, ALTAMONTE SPRINGS, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2002-02-21 |
| ANNUAL REPORT | 2000-08-02 |
| ANNUAL REPORT | 1999-04-12 |
| ANNUAL REPORT | 1998-02-02 |
| ANNUAL REPORT | 1997-01-30 |
| ANNUAL REPORT | 1996-02-09 |
| ANNUAL REPORT | 1995-02-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
