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KGA MEDICAL SUPPLY LLC

Company Details

Entity Name: KGA MEDICAL SUPPLY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 23 Oct 2023 (a year ago)
Document Number: L22000143662
FEI/EIN Number 88-1664543
Address: 111 E. MONUMENT AVE, KISSIMMEE, FL, 34741, US
Mail Address: 111 E. MONUMENT AVE, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447997150 2022-05-14 2023-12-06 111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL, 347415774, US 111 E MONUMENT AVE, STE 401-10, KISSIMMEE, FL, 347415774, US

Contacts

Phone +1 800-439-1580

Authorized person

Name MA GRACIA CADET
Role OWNER
Phone 5614126802

Taxonomy

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

Agent

Name Role Address
MA. GRACIA CADET Agent 111 E. MONUMENT AVE, KISSIMMEE, FL, 34741

Authorized Member

Name Role Address
MA. GRACIA CADET Authorized Member 111 E. MONUMENT AVE, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
LC REVOCATION OF DISSOLUTION 2023-10-23 No data No data
LC AMENDMENT 2023-10-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-23 111 E. MONUMENT AVE, UNIT 401-10, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2023-10-23 111 E. MONUMENT AVE, UNIT 401-10, KISSIMMEE, FL 34741 No data
VOLUNTARY DISSOLUTION 2023-08-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
LC Amendment 2023-10-23
LC Revocation of Dissolution 2023-10-23
VOLUNTARY DISSOLUTION 2023-08-16
ANNUAL REPORT 2023-03-17
Florida Limited Liability 2022-04-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State