| Entity Name: | CROWN MEDICAL TRANSPORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Feb 2018 (7 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L18000038792 |
| FEI/EIN Number | 82-4447574 |
| Address: | 210 SPRINGVIEW COMMERCE DRIVE, #120, DEBARY, FL, 32713 |
| Mail Address: | 210 SPRINGVIEW COMMERCE DRIVE, #120, DEBARY, FL, 32713 |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730671033 | 2018-06-01 | 2018-06-01 | 210 SPRINGVIEW COMMERCE DR STE 120, DEBARY, FL, 327134845, US | 210 SPRINGVIEW COMMERCE DR STE 120, DEBARY, FL, 327134845, US | |||||||||||||||
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| Phone | +1 386-516-6968 |
| Fax | 3867420186 |
Authorized person
| Name | FIDAHUSSEIN KHAKI |
| Role | CEO |
| Phone | 4072210792 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAKI FIDAHUSSEIN | Agent | 210 SPRINGVIEW COMMERCE DRIVE, #120, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| BHALLOO IMRAN | Manager | 210 SPRINGVIEW COMMERCE DRIVE, #120, DEBARY, FL, 32713 |
| KHAKI FIDAHUSSEIN | Manager | 210 SPRINGVIEW COMMERCE DRIVE, #120, DEBARY, FL, 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-19 |
| Florida Limited Liability | 2018-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
