| Entity Name: | KAZE HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Dec 2020 (4 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: | L21000000127 |
| FEI/EIN Number | 86-1293890 |
| Address: | 4648 County Road 540A, Lakeland, FL, 33813, US |
| Mail Address: | 4648 County Road 540A, Lakeland, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902491228 | 2021-03-08 | 2022-03-02 | 4648 E COUNTY ROAD 540A, LAKELAND, FL, 338134472, US | 4648 E COUNTY ROAD 540A, LAKELAND, FL, 338134472, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 863-450-5293 |
| Phone | +1 863-513-0673 |
Authorized person
| Name | AARON MOHAMED |
| Role | OWNER |
| Phone | 8634505293 |
Taxonomy
| Taxonomy Code | 146L00000X - Paramedic |
| Is Primary | No |
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 3336C0002X - Clinic Pharmacy |
| Is Primary | No |
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Is Primary | No |
| Taxonomy Code | 341600000X - Ambulance |
| Is Primary | No |
| Taxonomy Code | 3416L0300X - Land Ambulance |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1538137518 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOHAMED AARON | Agent | 4648 County Road 540A, Lakeland, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| MOHAMED AARON | Manager | 4648 County Road 540A, Lakeland, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| MOHAMED KAREN | Authorized Representative | 4648 County Road 540A, Lakeland, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 4648 County Road 540A, Lakeland, FL 33813 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-04 | 4648 County Road 540A, Lakeland, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-04 | 4648 County Road 540A, Lakeland, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-03-04 |
| Florida Limited Liability | 2020-12-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
