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SKY BLUE MEDICINE LLC

Company Details

Entity Name: SKY BLUE MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 25 Jan 2022 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L22000049199
Address: 1317 EDGEWATER DR. 210, ORLANDO, FL 32804
Mail Address: 1317 EDGEWATER DR. 210, ORLANDO, FL 32804
ZIP code: 32804
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710617295 2022-06-16 2022-06-16 1317 EDGEWATER DR # 210, ORLANDO, FL, 328046350, US 1317 EDGEWATER DR # 210, ORLANDO, FL, 328046350, US

Contacts

Phone +1 850-879-3324

Authorized person

Name MELANIE LANE KEY
Role OWNER
Phone 8508793324

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
MILLIKEN, RANDY Agent 1317 EDGEWATER DR., ORLANDO, FL 32804

Manager

Name Role Address
KEY, MELANIE Manager 1317 EDGEWATER DR. 210, ORLANDO, FL 32804

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2022-01-25

Date of last update: 13 Jan 2025

Sources: Florida Department of State