| Entity Name: | KWABENA AMPONSAH PA-C, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KWABENA AMPONSAH PA-C, 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: | 02 May 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L11000051412 |
| FEI/EIN Number |
452126316
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10018 Madison Banks Street, Orlando, FL, 32827, US |
| Mail Address: | 10018 Madison Banks Street, Orlando, FL, 32827, US |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184916801 | 2011-05-12 | 2020-12-03 | 10524 MOSS PARK RD STE 204-771, ORLANDO, FL, 328325898, US | 10524 MOSS PARK RD STE 204-771, ORLANDO, FL, 328325898, US | |||||||||||||||||||||||||
|
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| Phone | +1 937-902-2068 |
Authorized person
| Name | MR. KWABENA AMPONSAH |
| Role | PRESIDENT/CEO |
| Phone | 9379022068 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME99974 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA9104033 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AMPONSAH KWABENA | Managing Member | 10018 Madison Banks Street, Orlando, FL, 32827 |
| AMPONSAH KWABENA | Agent | 10018 Madison Banks Street, Orlando, FL, 32827 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000032463 | MKA SURGICAL GROUP | EXPIRED | 2013-04-04 | 2024-12-31 | - | 10524 MOSS PARK ROAD, SUITE 204-771, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-16 | 10018 Madison Banks Street, Orlando, FL 32827 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-16 | 10018 Madison Banks Street, Orlando, FL 32827 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-16 | 10018 Madison Banks Street, Orlando, FL 32827 | - |
| LC AMENDMENT AND NAME CHANGE | 2012-04-05 | KWABENA AMPONSAH PA-C, PLLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-04-15 |
| ANNUAL REPORT | 2013-03-24 |
| LC Amendment and Name Change | 2012-04-05 |
| ANNUAL REPORT | 2012-03-02 |
| Florida Limited Liability | 2011-05-02 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
