| Entity Name: | KOLBE CLINIC OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Jun 2019 (6 years ago) |
| Branch of: | KOLBE CLINIC OF FLORIDA, LLC, ALABAMA (Company Number 000-544-626) |
| Document Number: | M19000005898 |
| FEI/EIN Number | 83-3614434 |
| Address: | 8734 Ortega Park Drive, navarre, FL 32566 |
| Mail Address: | 1830 MONTCLAIR RD, STE A, BIRMINGHAM, AL 35210 |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952964132 | 2019-04-15 | 2019-04-15 | 1830 MONTCLAIR RD STE A, IRONDALE, AL, 352102645, US | 8734 ORTEGA PARK DR, NAVARRE, FL, 325664139, US | |||||||||||||||
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| Phone | +1 850-904-2277 |
| Fax | 2056189706 |
Authorized person
| Name | MR. WILLIAM CARL WAINSCOTT II |
| Role | CEO |
| Phone | 8509042277 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WAINSCOTT II, WILLIAM C | Agent | 8734 ORTEGA PARK DRIVE, NAVARRE, FL 32566 |
| Name | Role | Address |
|---|---|---|
| RUTH, ROBERT | Chief Compliance Officer | 8734 ORTEGA PARK DR, NAVARRE, FL 32566 |
| Name | Role | Address |
|---|---|---|
| WAINSCOTT II, WILLIAM C | Chief Executive Officer | 1830 MONTCLAIR RD, STE A, BIRMINGHAM, AL 35210 |
| Name | Role | Address |
|---|---|---|
| WAINSCOTT II, WILLIAM C | Member | 1830 MONTCLAIR RD, STE A, BIRMINGHAM, AL 35210 |
| RUTH, ROBERT | Member | 8734 ORTEGA PARK DR, NAVARRE, FL 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-04 | 8734 Ortega Park Drive, navarre, FL 32566 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-06-30 |
| Foreign Limited | 2019-06-17 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
