| Entity Name: | KINGSLEY ENDOSCOPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Feb 2021 (4 years ago) |
| Document Number: | L19000233382 |
| FEI/EIN Number | 84-3425039 |
| Mail Address: | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 32204, US |
| Address: | 870 KINGSLEY AVE., ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891309423 | 2020-09-01 | 2022-10-26 | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 322044416, US | 870 KINGSLEY AVE, ORANGE PARK, FL, 320734752, US | |||||||||||||||
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| Phone | +1 904-388-8686 |
| Fax | 9043872659 |
Authorized person
| Name | DR. ABDU ABBASSI |
| Role | OWNER |
| Phone | 9043888686 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ramnanan Krishna K | Agent | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| KEC HOLDING, LLC | Manager | 28 OLD RUDNICK LN., DOVER, DE, 19901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-24 | ramnanan, Krishna K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-13 | 870 KINGSLEY AVE., ORANGE PARK, FL 32073 | No data |
| REINSTATEMENT | 2021-02-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-26 | 870 KINGSLEY AVE., ORANGE PARK, FL 32073 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-13 |
| REINSTATEMENT | 2021-02-26 |
| Florida Limited Liability | 2019-09-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
