| Entity Name: | THE CRANE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jul 2010 (15 years ago) |
| Document Number: | L10000074447 |
| FEI/EIN Number | 273057564 |
| Mail Address: | PO BOX 1648, Destin, FL, 32540, US |
| Address: | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL, 32541, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730678293 | 2018-05-09 | 2022-08-25 | PO BOX 1648, DESTIN, FL, 325401648, US | 137 CRYSTAL BEACH DR STE 137-C, DESTIN, FL, 32541, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-226-7100 |
Authorized person
| Name | KATHLEEN HENSLEY |
| Role | OFFICE MANAGER |
| Phone | 8502267100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE CRANE CENTER 401K PLAN | 2023 | 273057564 | 2024-07-18 | THE CRANE CENTER LLC | 9 | |||||||||||||
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| THE CRANE CENTER 401K PLAN | 2022 | 273057564 | 2023-08-31 | THE CRANE CENTER LLC | 13 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| GOLDBERG ERIC | Agent | 137 Crystal Beach Dr, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| GOLDBERG ERIC | Managing Member | 137 Crystal Beach Dr, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| Hensley Kathleen | Auth | PO BOX 1648, Destin, FL, 32540 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000036600 | CUTE KIDS PEDIATRICS | EXPIRED | 2018-03-19 | 2023-12-31 | No data | 155 CRYSTAL BEACH DRIVE, SUITE 121, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-08 | 137 Crystal Beach Dr, Unit 137 C, DESTIN, FL 32541 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-06-15 | GOLDBERG, ERIC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
