| Entity Name: | KALEIDOSCOPE INTERVENTIONS OF ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jun 2016 (9 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000109155 |
| FEI/EIN Number | 81-2869962 |
| Address: | 125 E Nasa Blvd., Melbourne, FL, 32901, US |
| Mail Address: | 125 E Nasa Blvd., Melbourne, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508392861 | 2017-05-05 | 2017-05-05 | 125 E NASA BLVD, MELBOURNE, FL, 329011900, US | 125 E NASA BLVD, MELBOURNE, FL, 329011900, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-265-4429 |
| Fax | 3217656434 |
Authorized person
| Name | JAMES HOLZ |
| Role | OWNER |
| Phone | 3212654429 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000000 |
| Name | Role |
|---|---|
| PUZZLE BOX ACADEMY OF ORLANDO, LLC | Agent |
| Name | Role |
|---|---|
| PUZZLE BOX ACADEMY OF ORLANDO, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-07 | Puzzle Box Academy of Orlando, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-10 | 125 E Nasa Blvd., Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-10 | 125 E Nasa Blvd., Melbourne, FL 32901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-10 | 125 E Nasa Blvd., Melbourne, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| Florida Limited Liability | 2016-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
