| Entity Name: | 12 KEYS MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
12 KEYS MEDICAL GROUP LLC 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: | 16 May 2016 (9 years ago) |
| Date of dissolution: | 30 Apr 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2020 (5 years ago) |
| Document Number: | L16000092785 |
| FEI/EIN Number |
81-2653317
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957, US |
| Mail Address: | 624 Grassmere Park, Nashville, TN, 37211, US |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750738589 | 2016-05-23 | 2016-05-23 | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574750, US | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349574750, US | |||||||||||||||||
|
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| Phone | +1 772-201-7892 |
Authorized person
| Name | KEVIN D LEE |
| Role | CEO |
| Phone | 6159733500 |
Taxonomy
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | ME83027 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Lee Kevin D | Auth | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957 |
| LEE Kevin D | Agent | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-04-30 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-22 | LEE, Kevin D | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-22 | 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-04-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-22 |
| Florida Limited Liability | 2016-05-16 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
