| Entity Name: | KIST MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Jun 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L11000065412 |
| FEI/EIN Number | 452465683 |
| Address: | 1029 SOUTH NOVA, UNIT D, ORMOND BEACH, FL, 32174 |
| Mail Address: | 1029 SOUTH NOVA, UNIT D, ORMOND BEACH, FL, 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114212446 | 2011-06-15 | 2011-06-15 | 6 INVERRAY CT, ORMOND BEACH, FL, 321748783, US | 1029 S NOVA RD, UNIT D, ORMOND BEACH, FL, 321749021, US | |||||||||||||||
|
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| Phone | +1 386-233-0075 |
| Fax | 3864924749 |
Authorized person
| Name | MR. MATTHEW TWERS |
| Role | PRESIDENT |
| Phone | 3862330075 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TWERS MATTHEW | Agent | 6 INVERRAY COURT, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| KIST-STEWART LISA | Managing Member | 6 INVERRAY COURT, ORMOND BEACH, FL, 32174 |
| KIST SHARON | Managing Member | 68 OAKMONT CIRCLE, ORMOND BEACH, FL, 32174 |
| TWERS MATTHEW | Managing Member | 6 INVERRAY COURT, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2012-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-04-04 |
| REINSTATEMENT | 2012-10-01 |
| Florida Limited Liability | 2011-06-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
