| Entity Name: | KYMBELLA HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2022 (2 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 06 Oct 2022 (2 years ago) |
| Document Number: | L22000421171 |
| FEI/EIN Number | 92-3580169 |
| Mail Address: | 4089 42ND SQ, VERO BEACH, FL, 32967, US |
| Address: | 4089 42nd sq, Vero Beach, FL, 32967, US |
| ZIP code: | 32967 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710674288 | 2023-04-24 | 2023-04-24 | 4089 42ND SQ, VERO BEACH, FL, 329671963, US | 6640 S US HIGHWAY 1, PORT ST LUCIE, FL, 349521421, US | |||||||||||||||
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| Phone | +1 772-473-6824 |
| Phone | +1 888-596-2352 |
Authorized person
| Name | DR. KIMBERLY G ANDERSON |
| Role | OWNER |
| Phone | 7724736824 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON KIMBERLY G | Agent | 4089 42ND SQ, VERO BEACH, FL, 32967 |
| Name | Role | Address |
|---|---|---|
| ANDERSON KIMBERLY G | Authorized Member | 4089 42ND SQ, VERO BEACH, FL, 32967 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-06 | 4089 42nd sq, Vero Beach, FL 32967 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-10-06 | KYMBELLA HEALTHCARE LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-04-18 |
| LC Amendment and Name Change | 2022-10-06 |
| Florida Limited Liability | 2022-09-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
