| Entity Name: | TRAIL HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 May 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L04000037208 |
| FEI/EIN Number | 743122667 |
| Mail Address: | PO BOX 7007, NAPLES, FL, 34101 |
| Address: | 2800 DAVIS BOULEVARD, SUITE 205, NAPLES, FL, 34104 |
| ZIP code: | 34104 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710191465 | 2007-05-10 | 2020-08-22 | PO BOX 8568, NAPLES, FL, 341018568, US | 3715 TAMIAMI TRL E, NAPLES, FL, 341126222, US | |||||||||||||||||||||||||||
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| Phone | +1 239-793-2184 |
| Fax | 2397932184 |
| Phone | +1 239-793-6434 |
Authorized person
| Name | CLAUDE J KENOL |
| Role | PRESIDENT |
| Phone | 2397936434 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME74930 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 44586 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KENOL CLAUDE Dr. | Agent | 2800 DAVIS BOULEVARD, NAPLES, FL, 34104 |
| Name | Role | Address |
|---|---|---|
| KENOL CLAUDE Dr. | Manager | 2800 DAVIS BOULEVARD, NAPLES, FL, 34104 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-15 | KENOL, CLAUDE, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-14 | 2800 DAVIS BOULEVARD, SUITE 205, NAPLES, FL 34104 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-14 | 2800 DAVIS BOULEVARD, SUITE 205, NAPLES, FL 34104 | No data |
| CANCEL ADM DISS/REV | 2009-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-05-03 | 2800 DAVIS BOULEVARD, SUITE 205, NAPLES, FL 34104 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-03-10 |
| ANNUAL REPORT | 2013-03-15 |
| ANNUAL REPORT | 2012-03-11 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-04-14 |
| REINSTATEMENT | 2009-09-30 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-03-11 |
| ANNUAL REPORT | 2006-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
