| Entity Name: | KADIA MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Feb 2021 (4 years ago) |
| Document Number: | L18000107255 |
| FEI/EIN Number | 82-5422374 |
| Address: | 813 Deltona Blvd, Deltona, FL, 32725, US |
| Mail Address: | 10 CLARK ST, ENTERPRISE, FL, 32725 |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457815474 | 2019-01-23 | 2019-03-25 | 813 DELTONA BLVD STE A, DELTONA, FL, 327257154, US | 813 DELTONA BLVD STE A, DELTONA, FL, 327257154, US | |||||||||||||||||
|
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| Phone | +1 386-507-5269 |
Authorized person
| Name | DR. ROBERT E KENT |
| Role | PHYSICIAN OWNER |
| Phone | 3865075269 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KENT ZAHRA | Agent | 10 CLARK ST, ENTERPRISE, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| KENT ZAHRA | Manager | 10 CLARK ST, ENTERPRISE, FL, 32725 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000078896 | ENHANCE MEDSPA AND REGENERATIVE MEDICINE | ACTIVE | 2021-06-13 | 2026-12-31 | No data | 10 CLARK ST, ENTERPRISE, FL, 32725 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-04 | 813 Deltona Blvd, Deltona, FL 32725 | No data |
| REINSTATEMENT | 2021-02-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-10 | KENT, ZAHRA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| REINSTATEMENT | 2021-02-26 |
| REINSTATEMENT | 2019-10-10 |
| Florida Limited Liability | 2018-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
