Search icon

KETAMINE WELLNESS CENTERS JACKSONVILLE, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: KETAMINE WELLNESS CENTERS JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 12 Nov 2020 (5 years ago)
Date of dissolution: 13 Dec 2024 (6 months ago)
Last Event: WITHDRAWAL
Event Date Filed: 13 Dec 2024 (6 months ago)
Document Number: M20000010375
FEI/EIN Number 85-3704829

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3753-2 CARDINAL POINT DR, JACKSONVILLE, FL, 32257, US
ZIP code: 32257
County: Duval
Place of Formation: ARIZONA

Key Officers & Management

Name Role Address
BLACK BARBARA Agent 3753-2 CARDINAL POINT DR, JACKSONVILLE, FL, 32257
NICHOLSON JULIE Manager 491 N 159 PL, GILBERT, AZ, 85234
NICHOLAS KEVIN Manager 491 N 159 PL, GILBERT, AZ, 85234
KETAMINE WELLNESS CENTERS ARIZONA Member 491 N 159 PL, GILBERT, AZ, 85234

National Provider Identifier

NPI Number:
1063016988
Certification Date:
2020-11-23

Authorized Person:

Name:
MS. ANITA JERGER
Role:
EXECUTIVE ASSISTANT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8445389355

Events

Event Type Filed Date Value Description
WITHDRAWAL 2024-12-13 - -
REVOKED FOR ANNUAL REPORT 2024-09-27 - -

Documents

Name Date
WITHDRAWAL 2024-12-13
AMENDED ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-25
Foreign Limited 2020-11-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jun 2025

Sources: Florida Department of State