| Entity Name: | CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2017 (8 years ago) |
| Document Number: | L17000128992 |
| FEI/EIN Number | 82-1855080 |
| Address: | 2259 Upland Way, TALLAHASSEE, FL, 32311, US |
| Mail Address: | 2259 Upland Way, Tallahassee, FL, 32311, US |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295236578 | 2018-02-22 | 2018-02-22 | PO BOX 7011, TALLAHASSEE, FL, 323147011, US | 1381 CROSS CREEK CIR, TALLAHASSEE, FL, 323013729, US | |||||||||||||||||||
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| Phone | +1 850-284-6873 |
| Phone | +1 850-877-6393 |
Authorized person
| Name | DR. OTIS WILBUR KIRKSEY |
| Role | CHIEF OPERATING OFFICER |
| Phone | 8502846873 |
Taxonomy
| Taxonomy Code | 1835P0018X - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PS20980 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MJENZI CONSULTING, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KIRKSEY OTIS W | President | 2259 Upland Way, TALLAHASSEE, FL, 32311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-05-01 | Mjenzi Consulting | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 1028 E Park Avenue, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 2259 Upland Way, TALLAHASSEE, FL 32311 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 2259 Upland Way, TALLAHASSEE, FL 32311 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-25 |
| Florida Limited Liability | 2017-06-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
