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KINGDOM MEDICAL GROUP LLC

Company Details

Entity Name: KINGDOM MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Sep 2019 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Dec 2023 (a year ago)
Document Number: L19000233920
FEI/EIN Number 84-2873362
Address: 18530 NW 2ND AVE, SUITE 301D, MIAMI, FL, 33619
Mail Address: PO BOX 153072, TAMPA, FL, 33684
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457012585 2021-12-30 2023-09-14 501 S FALKENBURG RD STE C23, TAMPA, FL, 336198058, US 501 S FALKENBURG RD STE C23, TAMPA, FL, 336198058, US

Contacts

Phone +1 813-434-1045

Authorized person

Name DR. FREDRICK THOMAS WILLIAMS
Role CEO
Phone 8134341045

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role
DR. MCDREAMY FOUNDATION INC Agent

Director

Name Role Address
WILLIAMS FREDRICK TJR Director 8001 N DALE MABRY HWY SUITE 501 E, TAMPA, FL, 33614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000113572 KINGDOM CHIROPRACTIC EXPIRED 2019-10-19 2024-12-31 No data PO BOX 153072, TAMPA, FL, 33684
G19000105359 KINGDOM CHIROPRACTIC INC EXPIRED 2019-09-26 2024-12-31 No data PO BOX 153072, TAMPA, FL, 33684

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-12-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2020-11-25 No data No data
REGISTERED AGENT NAME CHANGED 2020-11-25 DR MCDREAMY FOUNDATION No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000037844 TERMINATED 1000000976610 HILLSBOROU 2024-01-12 2034-01-17 $ 1,002.06 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236

Documents

Name Date
ANNUAL REPORT 2024-05-01
REINSTATEMENT 2023-12-19
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-24
REINSTATEMENT 2020-11-25
Florida Limited Liability 2019-09-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State