| Entity Name: | K C NURSE REGISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Dec 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2021 (3 years ago) |
| Document Number: | L20000376050 |
| FEI/EIN Number | 85-3998452 |
| Address: | 6635 S FLORIDA AVE, C-2, LAKELAND, FL, 33813, US |
| Mail Address: | 6635 S FLORIDA AVE, C-2, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063016889 | 2020-11-23 | 2020-11-23 | 6635 S FLORIDA AVE # C-2, LAKELAND, FL, 338133354, US | 6635 S FLORIDA AVE # C-2, LAKELAND, FL, 338133354, US | |||||||||||||
|
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| Phone | +1 813-525-3878 |
Authorized person
| Name | BERNARD O SPOONER |
| Role | ADMINISTRATOR |
| Phone | 8139927867 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OCAMPO LUIS | Agent | 6635 S FLORIDA AVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| OCAMPO LUIS A | Manager | 6635 S FLORIDA AVE, C-2, LAKELAND, FL, 33813 |
| CRUZ KARLA | Manager | 6635 S FLORIDA AVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-27 | OCAMPO, LUIS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2020-12-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-09 |
| REINSTATEMENT | 2021-09-27 |
| LC Amendment | 2020-12-21 |
| Florida Limited Liability | 2020-12-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
