| Entity Name: | KEVIN NICHOLSON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Feb 2009 (16 years ago) |
| Date of dissolution: | 05 Feb 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Feb 2018 (7 years ago) |
| Document Number: | L09000014297 |
| FEI/EIN Number | 264727217 |
| Address: | 1210 Terralago way, Kissimmee, FL, 34746, US |
| Mail Address: | 1210 Terralago way, Kissimmee, FL, 34746, US |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508209214 | 2013-04-11 | 2013-04-11 | PO BOX 407, LOUGHMAN, FL, 338580407, US | 1674 PLEASANT HILL RD, KISSIMMEE, FL, 347463954, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-545-9191 |
| Fax | 4076418918 |
Authorized person
| Name | DR. TANSYLA NICHOLSON |
| Role | MEDICAL DIRECTOR |
| Phone | 4075459191 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME101521 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME101521 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NICHOLSON TANSYLA | Agent | 1210 Terralago way, Kissimmee, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| nicholson tansyla M | Manager | 1210 Terralago way, Kissimmee, FL, 34746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000107362 | SANDCASTLE PEDIATRICS | EXPIRED | 2014-10-23 | 2019-12-31 | No data | 1674 PLEASANT HILL ROAD, KISSIMMEE, FL, 34746 |
| G14000034487 | SANDCASTLE PEDIATRICS | EXPIRED | 2014-04-07 | 2019-12-31 | No data | 1674 PLEASANT HILL ROAD, KISSIMMEE, FL, 34746 |
| G12000111456 | DOCTOR 2 YOUR DOOR | EXPIRED | 2012-11-19 | 2017-12-31 | No data | P O BOX 407, LOUGHMAN, FL, 33858 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-02-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-14 | 1210 Terralago way, Kissimmee, FL 34746 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-14 | NICHOLSON, TANSYLA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-14 | 1210 Terralago way, Kissimmee, FL 34746 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-14 | 1210 Terralago way, Kissimmee, FL 34746 | No data |
| REINSTATEMENT | 2011-08-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-04 |
| REINSTATEMENT | 2011-08-19 |
| Florida Limited Liability | 2009-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
