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KETAMINE HOLISTIC WELLNESS CENTER, PLLC - Florida Company Profile

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Company Details

Entity Name: KETAMINE HOLISTIC WELLNESS CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 07 Mar 2017 (8 years ago)
Date of dissolution: 25 Apr 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Apr 2023 (2 years ago)
Document Number: L17000053125
FEI/EIN Number 82-0874836
Address: 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL, 32920, US
Mail Address: 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL, 32920, US
ZIP code: 32920
City: Cape Canaveral
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NEGRON SONIA I Owne 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL, 32920
Negron Sonia I Agent 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL, 32920

Unique Entity ID

CAGE Code:
7W5Q4
UEI Expiration Date:
2021-05-01

Business Information

Activation Date:
2020-05-01
Initial Registration Date:
2017-06-21

Commercial and government entity program

CAGE number:
7W5Q4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-02-11
CAGE Expiration:
2026-03-02
SAM Expiration:
2022-02-11

Contact Information

POC:
SONIA NEGRON

National Provider Identifier

NPI Number:
1114586138

Authorized Person:

Name:
KYMBERLY TESH PIERCE-DEW
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
163WP0808X - Psychiatric/Mental Health Registered Nurse
Is Primary:
Yes

Contacts:

Fax:
3218210212

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-04-25 - -
CHANGE OF PRINCIPAL ADDRESS 2021-12-03 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL 32920 -
CHANGE OF MAILING ADDRESS 2021-12-03 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL 32920 -
REGISTERED AGENT NAME CHANGED 2021-12-03 Negron, Sonia Ivette -
REGISTERED AGENT ADDRESS CHANGED 2021-12-03 6103 N Atlantic Ave, Suite C, Cape Canaveral, FL 32920 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000092288 ACTIVE 2022-CA-13723 BREVARD COUNTY CIRCUIT COURT 2023-02-25 2028-03-07 $264482.61 BRIXMOR ATLANTIC PLAZA, LLC, 450 LEXINGTON AVENUE, 13TH FLOOR, NEW YORK, NY 10170

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-04-25
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-04-04
AMENDED ANNUAL REPORT 2021-12-03
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-02-19
Florida Limited Liability 2017-03-07

USAspending Awards / Financial Assistance

Date:
2020-08-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
65300.00
Total Face Value Of Loan:
345200.00
Date:
2020-08-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
65300.00
Total Face Value Of Loan:
345200.00
Date:
2020-06-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
20647.50
Total Face Value Of Loan:
20647.50

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$20,647.5
Date Approved:
2020-06-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,647.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,898.18
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $14,398
Rent: $6,249.5

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Date of last update: 02 Aug 2025

Sources: Florida Department of State