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KC MED SUPPLIES LLC

Company Details

Entity Name: KC MED SUPPLIES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 03 May 2021 (4 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: L21000190999
FEI/EIN Number NOT APPLICABLE
Address: 2411 W SAND LAKE RD, STE I, ORLANDO, FL, 32809
Mail Address: 2411 W SAND LAKE RD, STE I, ORLANDO, FL, 32809
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861062507 2021-06-25 2021-10-04 2411 SAND LAKE RD STE I, ORLANDO, FL, 328097661, US 2411 SAND LAKE RD STE I, ORLANDO, FL, 328097661, US

Contacts

Phone +1 800-304-1755

Authorized person

Name KENNETH CHRYSOSTOME
Role OWNER
Phone 8003041755

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
KENNETH CHRYSOSTOME Agent 2411 W SAND LAKE RD, STE I, ORLANDO, FL, 32809

Authorized Member

Name Role Address
KENNETH CHRYSOSTOME Authorized Member 2411 W SAND LAKE RD, STE I, ORLANDO, FL, 32809

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-28
Florida Limited Liability 2021-05-03

Date of last update: 03 Feb 2025

Sources: Florida Department of State