| Entity Name: | KRYSTAL HALL MEDICAL PROFESSIONAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KRYSTAL HALL MEDICAL PROFESSIONAL, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 03 Nov 2009 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L09000106147 |
| FEI/EIN Number |
271250860
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 38 South Blue Angel Pkwy, Box 104, PENSACOLA, FL, 32506, US |
| Mail Address: | 38 South Blue Angel Pkwy, Box 104, PENSACOLA, FL, 32506, US |
| ZIP code: | 32506 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962739813 | 2009-11-13 | 2016-02-04 | 38 S BLUE ANGEL PKWY # 104, PENSACOLA, FL, 325066045, US | 6984 PINE FOREST RD, PENSACOLA, FL, 325268908, US | |||||||||||||||||
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| Phone | +1 850-456-4082 |
Authorized person
| Name | MRS. KRYSTAL S HALL |
| Role | NURSE PRACTITIONER |
| Phone | 8505297932 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP3248772 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Overly KRYSTAL S | Managing Member | 38 South Blue Angel Pkwy, PENSACOLA, FL, 32506 |
| Overly KRYSTAL S | Agent | 38 South Blue Angel Pkwy, PENSACOLA, FL, 32506 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-17 | Overly, KRYSTAL S | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-23 | 38 South Blue Angel Pkwy, Box 104, PENSACOLA, FL 32506 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-23 | 38 South Blue Angel Pkwy, Box 104, PENSACOLA, FL 32506 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-23 | 38 South Blue Angel Pkwy, Box 104, PENSACOLA, FL 32506 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-02-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6118548002 | 2020-06-29 | 0491 | PPP | 38 S Blue Angel Pwky #104, PENSACOLA, FL, 32506-9753 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
