| Entity Name: | KBK INSTITUTE OF ADVANCED MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Sep 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000120991 |
| FEI/EIN Number | 205580769 |
| Address: | 5821 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Mail Address: | 5821 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245372416 | 2007-02-13 | 2020-08-22 | 5821 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216308, US | 5821 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216308, US | |||||||||||||||||||
|
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| Phone | +1 954-981-9400 |
| Fax | 9549819443 |
Authorized person
| Name | MS. STACY L OCONNOR |
| Role | COO |
| Phone | 9549819400 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0058991 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEILLY BRADFORD J | Agent | 1144 SE 3RD AVENUE, FORT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| KELLER R.H. D | President | 5821 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| KELLER R.H. D | Director | 5821 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-21 |
| ANNUAL REPORT | 2007-04-25 |
| Domestic Profit | 2006-09-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
