| Entity Name: | KRISLAINE INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 May 2002 (23 years ago) |
| Document Number: | P02000055846 |
| FEI/EIN Number | 320021456 |
| Address: | 2650 BAHIA VISTA ST, #207, SARASOTA, FL, 34239, US |
| Mail Address: | 2650 BAHIA VISTA ST, #207, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649497447 | 2007-04-20 | 2009-05-04 | 500 JOHN RINGLING BLVD, SARASOTA, FL, 342361430, US | 500 JOHN RINGLING BLVD, SARASOTA, FL, 342361430, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 941-388-4408 |
Authorized person
| Name | EDWARD F CARLSTROM |
| Role | DOCTOR |
| Phone | 9413884408 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME46678 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARLSTROM EDWARD | Agent | 2650 BAHIA VISTA ST, #207, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| CARLSTROM EDWARD F | President | 2650 BAHIA VISTA ST, SARASOTA, FL, 34239 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000062433 | CARLSTROM FAMILY PRACTICE | EXPIRED | 2015-06-17 | 2020-12-31 | No data | 2650 BAHIA VISTA ST, # 207, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-16 | 2650 BAHIA VISTA ST, #207, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-16 | 2650 BAHIA VISTA ST, #207, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-16 | 2650 BAHIA VISTA ST, #207, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-09-27 | CARLSTROM, EDWARD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-09-16 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
