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KYLE CARE MEDICAL, LLC.

Company Details

Entity Name: KYLE CARE MEDICAL, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 31 Jan 2019 (6 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L19000031916
FEI/EIN Number 83-3836328
Address: 3157 N. UNIVERSITY DRIVE, 101, DAVIE, FL, 33024
Mail Address: 3157 N. UNIVERSITY DRIVE, 101, DAVIE, FL, 33024
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932763208 2019-04-23 2020-02-20 3157 N UNIVERSITY DR, HOLLYWOOD, FL, 330242258, US 3157 N UNIVERSITY DR, HOLLYWOOD, FL, 330242258, US

Contacts

Phone +1 754-206-8250
Fax 7542068260

Authorized person

Name DR. KYLE PETERSEN
Role PRESIDENT
Phone 7542068250

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
PETERSEN KYLE H Agent 3157 N. UNIVERSITY DRIVE, DAVIE, FL, 33024

President

Name Role Address
PETERSEN KYLE H President 3157 N. UNIVERSITY DRIVE - SUITE 1, DAVIE, FL, 33024

Secretary

Name Role Address
PETERSEN KYLE H Secretary 3157 N. UNIVERSITY DRIVE - SUITE 1, DAVIE, FL, 33024

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2022-12-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2021-10-21 No data No data
REGISTERED AGENT NAME CHANGED 2021-10-21 PETERSEN, KYLE H No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
REINSTATEMENT 2022-12-19
REINSTATEMENT 2021-10-21
ANNUAL REPORT 2020-06-30
Florida Limited Liability 2019-01-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State