| Entity Name: | KERSENBROCK MEDICAL AND WELLNESS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KERSENBROCK MEDICAL AND WELLNESS, 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: | 18 May 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L18000125276 |
| FEI/EIN Number |
83-0607939
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 760 CURRENCY CIRCLE, SUITE A, LAKE MARY, FL, 32746, US |
| Mail Address: | 760 CURRENCY CIRCLE, SUITE A, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154816510 | 2018-06-28 | 2018-06-28 | 760 CURRENCY CIR STE A, LAKE MARY, FL, 327462138, US | 760 CURRENCY CIR STE A, LAKE MARY, FL, 327462138, US | |||||||||||||||
|
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| Phone | +1 407-732-6920 |
| Fax | 4077326923 |
Authorized person
| Name | BENJAMIN DALE KERSENBROCK |
| Role | OWNER |
| Phone | 4077326920 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KERSENBROCK BENJAMIN D | Manager | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| Kersenbrock Benjamin DDR | Agent | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000060917 | KERSENBROCK MEDICAL AND WELLNESS | EXPIRED | 2018-05-21 | 2023-12-31 | - | 760 CURRENCY CIRCLE, SUITE A, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-06-03 | Kersenbrock, Benjamin Dale, DR | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-03 | 760 CURRENCY CIRCLE, SUITE A, LAKE MARY, FL 32746 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-26 |
| Florida Limited Liability | 2018-05-18 |
Date of last update: 02 May 2025
Sources: Florida Department of State
