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MARY ALSTON KERLLENEVICH, LLC

Company Details

Entity Name: MARY ALSTON KERLLENEVICH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 07 Apr 2008 (17 years ago)
Date of dissolution: 25 Jan 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Jan 2016 (9 years ago)
Document Number: L08000035059
FEI/EIN Number 262344002
Address: 4900 US 1 NORTH, SUITE 400, ST. AUGUSTINE, FL, 32095
Mail Address: 4900 US 1 NORTH, SUITE 400, ST. AUGUSTINE, FL, 32095
ZIP code: 32095
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033364971 2008-11-19 2008-11-19 4900 US HIGHWAY 1 N, SUITE 400, ST AUGUSTINE, FL, 320956271, US 1100 S PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL, 320846013, US

Contacts

Phone +1 904-824-7733
Fax 9048299768

Authorized person

Name MARY A KERLLENEVICH
Role MGRM
Phone 9048247733

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number PY 7744
State FL
Is Primary Yes

Agent

Name Role Address
KERLLENEVICH MARY ALSTON Agent 4900 US 1 NORTH, ST. AUGUSTINE, FL, 32095

Managing Member

Name Role Address
KERLLENEVICH MARY ALSTON Managing Member 4900 US 1 NORTH, SUITE 400, ST. AUGUSTINE, FL, 32095

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09048900312 MARY ALSTON KERLLENEVICH, PH.D. EXPIRED 2009-02-17 2024-12-31 No data 4900 US HIGHWAY 1 NORTH, SUITE 400, SAINT AUGUSTINE, FL, 32095

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-01-25 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-01-25
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-01-25
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-02-17
Florida Limited Liability 2008-04-07

Date of last update: 03 Feb 2025

Sources: Florida Department of State