| Entity Name: | KBN HEALTHCARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KBN HEALTHCARE, 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: | 09 Feb 2018 (7 years ago) |
| Date of dissolution: | 21 Feb 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Feb 2019 (6 years ago) |
| Document Number: | L18000036445 |
| Address: | 4533 ANTLER HILL DRIVE EAST, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 4533 ANTLER HILL DRIVE EAST, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083116107 | 2018-03-05 | 2018-03-05 | 9471 BAYMEADOWS RD STE 3, JACKSONVILLE, FL, 322567932, US | 9471 BAYMEADOWS RD STE 3, JACKSONVILLE, FL, 322567932, US | |||||||||||||||||||
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| Phone | +1 904-332-7431 |
| Fax | 9043327408 |
Authorized person
| Name | WENDY C LU |
| Role | CREDENTIALING MANAGER |
| Phone | 9042212535 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9239957 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BYERS-NOTTINGHAM KRISTIN | Authorized Member | 4533 ANTLER HILL DRIVE EAST, JACKSONVILLE, FL, 32224 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| VOLUNTARY DISSOLUTION | 2019-02-21 | - | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2019-04-01 |
| VOLUNTARY DISSOLUTION | 2019-02-21 |
| Florida Limited Liability | 2018-02-09 |
Date of last update: 02 May 2025
Sources: Florida Department of State
