| Entity Name: | KETAMINE HEALTH CENTERS OF WESTON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Jun 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L18000144084 |
| FEI/EIN Number | 83-0870253 |
| Address: | 1290 WESTON ROAD, 203B, WESTON, FL 33326 |
| Mail Address: | 5310 Beethoven St, Los Angeles, CA 90066 |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497311724 | 2019-05-13 | 2019-05-13 | 5745 SW 51ST ST, MIAMI, FL, 331556317, US | 1290 WESTON RD STE 203B, WESTON, FL, 333261909, US | |||||||||||||||
|
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| Phone | +1 305-793-4855 |
| Phone | +1 954-237-1303 |
Authorized person
| Name | DR. RAUL A CRUZ |
| Role | OWNER |
| Phone | 3057934855 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role |
|---|---|
| IRWIN NATURALS EMERGENCE, INC. | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000105139 | KETAMINE HEALTH CENTERS | EXPIRED | 2018-09-24 | 2023-12-31 | No data | 1290 WESTON RD, 203B, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-06 | 1290 WESTON ROAD, 203B, WESTON, FL 33326 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-06 | Northwest Registered Agent LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-06 | 7901 4th St. N, Suite 300, St. Petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-08 |
| Florida Limited Liability | 2018-06-11 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
