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KIELLE MEDICAL LIMITED LIABILITY COMPANY - Florida Company Profile

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Company Details

Entity Name: KIELLE MEDICAL LIMITED LIABILITY COMPANY
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jan 2020 (6 years ago)
Document Number: L20000024850
FEI/EIN Number 84-4585082
Address: 5988 DUCKWEED ROAD, LAKE WORTH, FL, 33449, US
Mail Address: 5988 DUCKWEED ROAD, LAKE WORTH, FL, 33449, US
ZIP code: 33449
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KIMINYO KITONGA Manager 5988 DUCKWEED ROAD, LAKE WORTH, FL, 33449
KIMINYO KARLENE Manager 5988 DUCKWEED ROAD, LAKE WORTH, FL, 33449
KIMINYO KITONGA Agent 5988 DUCKWEED ROAD, LAKE WORTH, FL, 33449

National Provider Identifier

NPI Number:
1366076515
Certification Date:
2020-02-26

Authorized Person:

Name:
KITONGA KIMINYO
Role:
EMPLOYEE
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State