| Entity Name: | KISMETS & REBELS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Sep 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000200344 |
| Address: | 3714 LANDINGS WAY DR., 108, TAMPA, FL, 33624 |
| Mail Address: | 3714 LANDINGS WAY DR., 108, TAMPA, FL, 33624 |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114410149 | 2018-06-13 | 2018-06-13 | 9609 SIMEON DR, LAND O LAKES, FL, 346386923, US | 9609 SIMEON DR, LAND O LAKES, FL, 346386923, US | |||||||||||||||||||||
|
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| Phone | +1 813-460-7767 |
Authorized person
| Name | KESHELL ALVIES |
| Role | OWNER |
| Phone | 8134607767 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023385500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALVIES KESHELL | Agent | 3714 LANDINGS WAY DR., TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| ALVIES KESHELL L | Chief Executive Officer | 3714 LANDINGS WAY DR. APT 108, TAMPA, FL, 33624 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000107508 | KISMET KARE | EXPIRED | 2017-09-28 | 2022-12-31 | No data | 3714 LANDINGS WAY DR., 108, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-09-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
