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KELLEY MEDICAL BILLING LLC

Company Details

Entity Name: KELLEY MEDICAL BILLING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 20 Jul 2007 (18 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L07000075060
FEI/EIN Number 90-0336318
Address: 279 MATHESON COVE RD, HAYESVILLE, NC 28904
Mail Address: 24509 AMARILLO STREET, BONITA SPRINGS, FL 34135
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053717314 2014-11-14 2014-11-14 24509 AMARILLO ST, BONITA SPRINGS, FL, 341357086, US 24509 AMARILLO ST, BONITA SPRINGS, FL, 341357086, US

Contacts

Phone +1 239-571-2168

Authorized person

Name SUSAN EVELYN KELLEY
Role OPERATING MANAGER
Phone 2395712168

Taxonomy

Taxonomy Code 247200000X - Other Technician
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

Manager

Name Role Address
KELLEY, SUSAN E Manager 2279 MATHESON COVE RD, HAYESVILLE, NC 28094
KELLEY, WILBUR E Manager 279 MATHESON COVE RD, HAYESVILLE, NC 28904

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000060109 KELLEY MAINTENACE AND REPAIR EXPIRED 2015-06-13 2020-12-31 No data 24509 AMARILLO ST, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-22 279 MATHESON COVE RD, HAYESVILLE, NC 28904 No data
LC AMENDMENT 2015-06-19 No data No data

Documents

Name Date
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23
LC Amendment 2015-06-19
ANNUAL REPORT 2015-01-10
ANNUAL REPORT 2014-04-11

Date of last update: 01 Jan 2025

Sources: Florida Department of State