Search icon

EXCALIBUR TELEMEDICAL SERVICES, INC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: EXCALIBUR TELEMEDICAL SERVICES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Dec 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Oct 2013 (12 years ago)
Document Number: P11000104543
FEI/EIN Number 45-4021184
Address: 405 WATERFORD LANE, GULF BREEZE, FL, 32561
Mail Address: 405 WATERFORD LANE, GULF BREEZE, FL, 32561
ZIP code: 32561
City: Gulf Breeze
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LANDRY KIM M President 405 WATERFORD LANE, GULF BREEZE, FL, 32561
LANDRY SUZANNE Chief Administrative Officer 405 WATERFORD LANE, GULF BREEZE, FL, 32561
LANDRY KIM M Agent 405 WATERFORD LANE, GULF BREEZE, FL, 32561

Unique Entity ID

CAGE Code:
6MBT6
UEI Expiration Date:
2021-02-19

Business Information

Activation Date:
2020-02-20
Initial Registration Date:
2012-01-03

Commercial and government entity program

CAGE number:
6MBT6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-13
CAGE Expiration:
2028-03-15
SAM Expiration:
2024-03-12

Contact Information

POC:
KIM M. LANDRY

National Provider Identifier

NPI Number:
1982224259
Certification Date:
2020-04-16

Authorized Person:

Name:
DR. KIM LANDRY
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8509340711

Events

Event Type Filed Date Value Description
REINSTATEMENT 2013-10-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-18
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-04-17

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Florida Department of State