| Entity Name: | KEVIN S BURKEVICH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Jun 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000095233 |
| FEI/EIN Number | 47-4212531 |
| Address: | 220 Lake Link Rd, Winter Haven, FL, 33884, US |
| Mail Address: | 220 Lake Link Rd, Winter Haven, FL, 33884, US |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497127096 | 2015-10-22 | 2015-10-22 | 220 LAKE LINK RD, WINTER HAVEN, FL, 338841003, US | 106 CENTER ST, DUNDEE, FL, 338384374, US | |||||||||||||||||
|
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| Phone | +1 610-554-6245 |
Authorized person
| Name | MR. KEVIN SCOTT BURKEVICH |
| Role | MANAGING OWNER |
| Phone | 6105546245 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | PTA25213 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURKEVICH KEVIN S | Agent | 220 Lake Link Rd, Winter Haven, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| BURKEVICH KEVIN S | Manager | 220 Lake Link Rd, Winter Haven, FL, 33884 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000090343 | KSB PHYSICAL THERAPY SERVICES | EXPIRED | 2017-08-16 | 2022-12-31 | No data | 220 LAKE LINK RD, WINTER HAVEN, FL, 33884 |
| G15000077178 | LASERPEDICS | EXPIRED | 2015-07-25 | 2020-12-31 | No data | 1542 LIMETREE BAY AVE, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2016-10-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-18 | 220 Lake Link Rd, Winter Haven, FL 33884 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-18 | 220 Lake Link Rd, Winter Haven, FL 33884 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-18 | 220 Lake Link Rd, Winter Haven, FL 33884 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-18 | BURKEVICH, KEVIN S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-05-08 |
| REINSTATEMENT | 2016-10-18 |
| Florida Limited Liability | 2015-06-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
