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KHALLYN, LLC

Company Details

Entity Name: KHALLYN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Jan 2016 (9 years ago)
Date of dissolution: 08 Jan 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 08 Jan 2017 (8 years ago)
Document Number: L16000007232
Address: 210 N. HIGHWAY 27, SUITE 7, CLERMONT, FL, 34711
Mail Address: 210 N. HIGHWAY 27, SUITE 7, CLERMONT, FL, 34711
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881055135 2016-03-15 2016-03-15 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US 210 N HIGHWAY 27, STE 7, CLERMONT, FL, 347112411, US

Contacts

Phone +1 352-259-2159
Fax 3522595731

Authorized person

Name DINESH KHANNA
Role AUTHORIZED OFFICIAL
Phone 3522592159

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
ALLYN DAVID Agent 210 N. HIGHWAY 27, CLERMONT, FL, 34711

Manager

Name Role Address
ALLYN DAVID Manager 210 N. HIGHWAY 27 (SUITE 1), CLERMONT, FL, 34711

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000033952 TOWER URGENT CARE EXPIRED 2016-04-03 2021-12-31 No data 210 N HIGHWAY 27, SUITE 7, CLERMONT, FL, 34711
G16000030576 FLORIDA URGENT CARE EXPIRED 2016-03-24 2021-12-31 No data 210 N HIGHWAY 27, SUITE 7, CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-01-08 No data No data

Documents

Name Date
Florida Limited Liability 2016-01-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State