| Entity Name: | KIELLE MEDICAL LIMITED LIABILITY COMPANY |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jan 2020 (5 years ago) |
| Document Number: | L20000024850 |
| FEI/EIN Number | 84-4585082 |
| Address: | 5988 DUCKWEED ROAD, LAKE WORTH, FL 33449 |
| Mail Address: | 5988 DUCKWEED ROAD, LAKE WORTH, FL 33449 |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366076515 | 2020-02-26 | 2020-02-26 | 5988 DUCKWEED RD, LAKE WORTH, FL, 334495810, US | 5988 DUCKWEED RD, LAKE WORTH, FL, 334495810, US | |||||||||||||
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| Phone | +1 561-767-0903 |
Authorized person
| Name | KITONGA KIMINYO |
| Role | EMPLOYEE |
| Phone | 5617670903 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIMINYO, KITONGA | Agent | 5988 DUCKWEED ROAD, LAKE WORTH, FL 33449 |
| Name | Role | Address |
|---|---|---|
| KIMINYO, KITONGA | Manager | 5988 DUCKWEED ROAD, LAKE WORTH, FL 33449 |
| KIMINYO, KARLENE | Manager | 5988 DUCKWEED ROAD, LAKE WORTH, FL 33449 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-04-12 |
| Florida Limited Liability | 2020-01-13 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
