Entity Name: | KEMP MEDICAL CENTER, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 19 Apr 2006 (19 years ago) |
Date of dissolution: | 26 Sep 2008 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2008 (16 years ago) |
Document Number: | P06000055797 |
FEI/EIN Number | NOT APPLICABLE |
Address: | 21 SUNTREE PLACE, SUITE 102, MELBOURNE, FL, 32940 |
Mail Address: | 21 SUNTREE PLACE, SUITE 102, MELBOURNE, FL, 32940 |
ZIP code: | 32940 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891729034 | 2006-07-11 | 2020-08-22 | 150 N SYKES CREEK PKWY STE 300, MERRITT ISLAND, FL, 329533488, US | 21 SUNTREE PL, SUITE 101, MELBOURNE, FL, 329407600, US | |||||||||||||||||||||||
|
Phone | +1 321-449-4537 |
Fax | 3214494573 |
Phone | +1 321-757-5340 |
Fax | 3217575344 |
Authorized person
Name | DR. ARNOLD MICHAEL KEMP |
Role | PHYSICIAN |
Phone | 3217575340 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME95053 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KEMP A. MICHAEL M | Agent | 21 SUNTREE PLACE, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
KEMP A. MICHAEL M | Director | 21 SUNTREE PLACE #102, MELBOURNE, FL, 32940 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
CANCEL ADM DISS/REV | 2007-10-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-10-23 | 21 SUNTREE PLACE, SUITE 102, MELBOURNE, FL 32940 | No data |
CHANGE OF MAILING ADDRESS | 2007-10-23 | 21 SUNTREE PLACE, SUITE 102, MELBOURNE, FL 32940 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2007-10-23 | 21 SUNTREE PLACE, SUITE 102, MELBOURNE, FL 32940 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2007-10-23 |
Domestic Profit | 2006-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State