| Entity Name: | KETAMINE HEALTH CENTERS AT BONITA SPRINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Jan 2020 (5 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L20000030533 |
| FEI/EIN Number | 844721096 |
| Address: | 26800 S. Tamiami Trail, BONITA SPRINGS, FL, 34134, US |
| Mail Address: | 5310 Beethoven St., Los Angeles, CA, 90066, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518587245 | 2020-04-22 | 2023-07-31 | 1430 S DIXIE HWY STE 204, CORAL GABLES, FL, 331463127, US | 26800 S TAMIAMI TRL STE 310, BONITA SPRINGS, FL, 341344348, US | |||||||||||||
|
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| Phone | +1 305-856-9442 |
Authorized person
| Name | DR. RAUL A CRUZ |
| Role | OWNER |
| Phone | 3058569442 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role |
|---|---|
| IRWIN NATURALS EMERGENCE, INC. | Auth |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-06 | 26800 S. Tamiami Trail, 310, BONITA SPRINGS, FL 34134 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-06 | Northwest Registered Agent LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-06 | 7901 4th St N, Suite 300, St. Petersburg, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-09 | 26800 S. Tamiami Trail, 310, BONITA SPRINGS, FL 34134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-31 |
| Florida Limited Liability | 2020-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
