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CEDAR KEY HEALTHCARE LLC

Company Details

Entity Name: CEDAR KEY HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Feb 2021 (4 years ago)
Document Number: L21000079175
FEI/EIN Number 86-2246564
Address: 510 SECOND ST., 297, CEDAR KEY, FL 32625
Mail Address: P.O. Box 297, Cedar Key, FL 32625
ZIP code: 32625
County: Levy
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164008371 2021-03-19 2021-04-22 PO BOX 297, CEDAR KEY, FL, 326250297, US 510 2ND ST, CEDAR KEY, FL, 32625, US

Contacts

Phone +1 352-325-0474
Fax 3524771417

Authorized person

Name TAMI N WILKES
Role MGR
Phone 3523250474

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
TAMI WILKES LLC Agent

Manager

Name Role Address
TamiWilkesLLC Manager 597 1st Street, P.O.Box 953 CEDAR KEY, FL 32625

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-30 510 SECOND ST., 297, CEDAR KEY, FL 32625 No data
CHANGE OF MAILING ADDRESS 2022-04-30 510 SECOND ST., 297, CEDAR KEY, FL 32625 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-30 597 1st Street, P.O.Box 953, CEDAR KEY, FL 32625 No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-04-30
Florida Limited Liability 2021-02-16

Date of last update: 14 Jan 2025

Sources: Florida Department of State