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K C NURSE REGISTRY LLC - Florida Company Profile

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Company Details

Entity Name: K C NURSE REGISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Dec 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Sep 2021 (4 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
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

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
OCAMPO LUIS Agent 6635 S FLORIDA AVE, LAKELAND, FL, 33813

National Provider Identifier

NPI Number:
1063016889
Certification Date:
2020-11-23

Authorized Person:

Name:
BERNARD O SPOONER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-09-27 - -
REGISTERED AGENT NAME CHANGED 2021-09-27 OCAMPO, LUIS -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
LC AMENDMENT 2020-12-21 - -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State