| Entity Name: | KETAMINE HOLISTIC WELLNESS CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KETAMINE HOLISTIC WELLNESS CENTER, PLLC 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: | 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114586138 | 2019-06-12 | 2019-06-12 | 1024 HIGHWAY A1A STE 152, SATELLITE BEACH, FL, 329372341, US | 1024 HIGHWAY A1A STE 152, SATELLITE BEACH, FL, 329372341, US | |||||||||||||||
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| Phone | +1 321-777-8040 |
| Fax | 3218210212 |
Authorized person
| Name | KYMBERLY TESH PIERCE-DEW |
| Role | BILLING MANAGER |
| Phone | 9417205448 |
Taxonomy
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | Yes |
| 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 |
| 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 | - |
| 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 |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2975938008 | 2020-06-24 | 0455 | PPP | 1024 HIGHWAY A1A STE 152, SATELLITE BEACH, FL, 32937 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
