| Entity Name: | KELLI L. PARKS, OD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Nov 2012 (12 years ago) |
| Date of dissolution: | 03 Mar 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Mar 2014 (11 years ago) |
| Document Number: | L12000141645 |
| FEI/EIN Number | 46-1387369 |
| Address: | 1226 FREEPORT RD, DEFUNIAK SPRINGS, FL, 32435 |
| Mail Address: | PO BOX 874, NICEVILLE, FL, 32588 |
| ZIP code: | 32435 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437494572 | 2012-11-30 | 2012-11-30 | PO BOX 874, NICEVILLE, FL, 325880874, US | 740 BEAL PKWY NW, FORT WALTON BEACH, FL, 325473002, US | |||||||||||||||||
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| Phone | +1 850-585-8830 |
Authorized person
| Name | DR. KELLI L PARKS |
| Role | OPTOMETRIST |
| Phone | 8505858830 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3149 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKS KELLI LDR. | Agent | 1501 N. PARTIN DRIVE UNIT 258, NICEVILLE, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| PARKS KELLI D | Managing Member | PO BOX 874, NICEVILLE, FL, 32588 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-08 | 1226 FREEPORT RD, DEFUNIAK SPRINGS, FL 32435 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-03 |
| ANNUAL REPORT | 2013-03-06 |
| Florida Limited Liability | 2012-11-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
