| Entity Name: | ISLAND CLINIC OF KEY BISCAYNE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Aug 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Feb 2024 (a year ago) |
| Document Number: | L06000080687 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 967 CRANDON BLVD., KEY BISCAYNE, FL, 33149, US |
| Mail Address: | 967 CRANDON BLVD., KEY BISCAYNE, FL, 33149, US |
| ZIP code: | 33149 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871670489 | 2006-11-01 | 2007-10-10 | PO BOX 491433, KEY BISCAYNE, FL, 331497433, US | 967 CRANDON BLVD, KEY BISCAYNE, FL, 331492753, US | |||||||||||||||||||
|
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| Phone | +1 305-365-8222 |
| Fax | 3053658299 |
Authorized person
| Name | CARMEN J ORTIZ BUTCHER |
| Role | CHAIRMAN |
| Phone | 3053658222 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME0045129 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ortiz-butcher carmen j | Agent | 6305 CABALLERO BLVD, CORAL GABLES, FL, 33146 |
| Name | Role | Address |
|---|---|---|
| ORTIZ-BUTCHER CARMEN J | Manager | 6305 CABALLERO BLVD, CORAL GABLES, FL, 33146 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-11-15 | ortiz-butcher, carmen j | No data |
| REINSTATEMENT | 2019-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-01 | 6305 CABALLERO BLVD, CORAL GABLES, FL 33146 | No data |
| LC NAME CHANGE | 2007-11-02 | ISLAND CLINIC OF KEY BISCAYNE, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2006-12-07 | 967 CRANDON BLVD., KEY BISCAYNE, FL 33149 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-12-07 | 967 CRANDON BLVD., KEY BISCAYNE, FL 33149 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-08 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-06-02 |
| ANNUAL REPORT | 2020-05-27 |
| REINSTATEMENT | 2019-11-15 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-10 |
| ANNUAL REPORT | 2014-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
