| Entity Name: | KISKEYA INVESTMENT GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Nov 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L08000104327 |
| FEI/EIN Number | 320266456 |
| Address: | 3880 W. BROWARD BLVD. SUITE 7, 7, FORT-LAUDERDALE, FL, 33312 |
| Mail Address: | 3880 W. BROWARD BLVD. SUITE 7, FORT-LAUDERDALE, FL, 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396038501 | 2011-05-20 | 2011-05-25 | 3880 W BROWARD BLVD, STE 7, FORT LAUDERDALE, FL, 333121058, US | 1203 E SUNRISE BLVD, FORT LAUDERDALE, FL, 333042810, US | |||||||||||||||||||||||||||
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| Phone | +1 954-990-4217 |
| Fax | 9549904263 |
| Phone | +1 954-766-6007 |
| Fax | 9547666037 |
Authorized person
| Name | PRICE JEAN-GILLES |
| Role | PIC |
| Phone | 9546320601 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25475 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5705946 |
| Name | Role | Address |
|---|---|---|
| JEAN-GILLES PRICE | Agent | 11784 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| JEAN-GILLES PRICE | Manager | 11784 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL, 33473 |
| PAYOUTE EDY | Manager | 1650 CALORADO STREET SE, PALM BAY, FL, 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-06-12 | 11784 FOXBRIAR LAKE TRAIL, BOYNTON BEACH, FL 33473 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-04 | 3880 W. BROWARD BLVD. SUITE 7, 7, FORT-LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2009-07-06 | 3880 W. BROWARD BLVD. SUITE 7, 7, FORT-LAUDERDALE, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-06-12 |
| ANNUAL REPORT | 2011-02-04 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-07-06 |
| Florida Limited Liability | 2008-11-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
