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DRAGON RISES COLLEGE OF ORIENTAL MEDICINE, LLC

Company Details

Entity Name: DRAGON RISES COLLEGE OF ORIENTAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 Apr 2001 (24 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 21 Nov 2024 (2 months ago)
Document Number: L01000005048
FEI/EIN Number 65-1093292
Address: 6815 14TH STREET WEST, BRADENTON, FL 34207
Mail Address: 6815 14TH STREET WEST, BRADENTON, FL 34207
ZIP code: 34207
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932358207 2008-09-11 2008-09-11 1000 NE 16TH AVE, BLDG. F, GAINESVILLE, FL, 326014557, US 1000 NE 16TH AVE, BLDG. F, GAINESVILLE, FL, 326014557, US

Contacts

Phone +1 352-371-2833
Fax 3523712867

Authorized person

Name MS. CYNTHIA E GRAY
Role PRESIDENT
Phone 3523712833

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number 2425
State FL
Is Primary Yes

Agent

Name Role Address
KRAMER, DORIAN Agent 6815 14TH STREET WEST, BRADENTON, FL 34207

AUTHORIZED MEMBER

Name Role Address
HAMMER, EWA AUTHORIZED MEMBER 3240 LAKE POINTE BLVD APT 335, SARASOTA, FL 34231

Authorized Member

Name Role Address
Burns, Jennifer Authorized Member 215 S. King St., Leesburg, VA 20175
Walker, Bettye Authorized Member 907 Hillcrest Parkway, Dublin, GA 31021
Brown, Anita Authorized Member 1136 Rue De Dore, Tavares, FL 32778
Reid, Stephen Authorized Member 5348 Siesta Court, Siesta Key, FL 34242

AUTHORIZED MEMBER CEO DIRECTOR

Name Role Address
WADSWORTH, KENTON AUTHORIZED MEMBER CEO DIRECTOR 5916 EASTMAN AVE SUITE B, MIDLAND, MI 48640

AMBR INTERIN DIRECTOR

Name Role Address
KRAMER, DORIAN AMBR INTERIN DIRECTOR 6815 14TH STREET WEST, BRADENTON, FL 34207

AMBR TREASURER

Name Role Address
PASTEWSKI, ALEX AMBR TREASURER 15409 LEON FISH DR, LAKEWOOD, FL 34202

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-11-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-09-10 6815 14TH STREET WEST, BRADENTON, FL 34207 No data
CHANGE OF MAILING ADDRESS 2024-09-10 6815 14TH STREET WEST, BRADENTON, FL 34207 No data
REGISTERED AGENT NAME CHANGED 2020-03-18 KRAMER, DORIAN No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-07 6815 14TH STREET WEST, BRADENTON, FL 34207 No data
LC AMENDED AND RESTATED ARTICLES 2014-02-28 No data No data

Documents

Name Date
LC Amendment 2024-11-21
ANNUAL REPORT 2024-03-11
AMENDED ANNUAL REPORT 2023-12-05
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-13

Date of last update: 31 Jan 2025

Sources: Florida Department of State