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KEZENGENE HEALTHCARE, LLC

Company Details

Entity Name: KEZENGENE HEALTHCARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Aug 2018 (6 years ago)
Document Number: L18000192226
FEI/EIN Number 83-1571207
Address: 568 CALAMINT POINT, ROYAL PALM BEACH, FL 33411
Mail Address: P.O. BOX 210093, ROYAL PALM BEACH, FL 33421
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659855351 2018-09-18 2023-03-25 PO BOX 210093, ROYAL PALM BEACH, FL, 334210093, US 568 CALAMINT PT, ROYAL PALM BEACH, FL, 334114212, US

Contacts

Phone +1 561-566-2042

Authorized person

Name DR. NIKERSON GENEVE
Role D.O.
Phone 9549931886

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
GRANTHAM, KIRK Agent 1860 FOREST HILL BLVD., STE. 105, WEST PALM BEACH, FL 33406

Manager

Name Role Address
GENEVE, NIKERSON Manager 568 CALAMINT POINT, ROYAL PALM BEACH, FL 33411

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-25
Florida Limited Liability 2018-08-10

Date of last update: 17 Jan 2025

Sources: Florida Department of State