| Entity Name: | FLORIDA KEYS AMBULANCE SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Aug 2012 (13 years ago) |
| Date of dissolution: | 26 Aug 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Aug 2022 (2 years ago) |
| Document Number: | P12000067895 |
| FEI/EIN Number | 46-0722971 |
| Address: | 91421 OVERSEAS HIGHWAY, TAVERNIER, FL, 33070, US |
| Mail Address: | P.O. BOX 1259, TAVERNIER, FL, 33070 |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710238241 | 2012-09-24 | 2012-11-07 | PO BOX 1259, TAVERNIER, FL, 330701259, US | 91421 OVERSEAS HWY STE 10, TAVERNIER, FL, 330702542, US | |||||||||||||||||||||||||
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| Phone | +1 305-414-8136 |
| Fax | 3053965889 |
Authorized person
| Name | MR. EDWARD F BONILLA |
| Role | OPERATIONS MANAGER, CEO. |
| Phone | 3054148136 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | ALS4411 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Number | ALS4411 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BONILLA EDWARD F | Agent | 91421 OVERSEAS HIGHWAY, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| BONILLA EDWARD F | Chief Executive Officer | P.O. BOX 1259, TAVERNIER, FL, 33070 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000131882 | KEY WEST AMBULANCE SERVICE | ACTIVE | 2020-10-11 | 2025-12-31 | No data | PO BOX 1259, TAVERNIER, FL, 33037 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-03 | 91421 OVERSEAS HIGHWAY, Suite 102, TAVERNIER, FL 33070 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-12 | 91421 OVERSEAS HIGHWAY, TAVERNIER, FL 33070 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000492064 | ACTIVE | 21-CA-000329-P | 16TH JUDICIAL CIRCUIT, MONROE | 2024-07-28 | 2029-08-06 | $28,778.00 | STEPHEN BUZZELL JR., C/O GALLUP AUERBACH, 4000 HOLLYWOOD BLVD, SUITE 265 SOUTH, HOLLYWOOD, FL 33021 |
| J23000001701 | ACTIVE | 2019-CA-000453-P | MONROE COUNTY CIRCUIT COURT | 2022-12-02 | 2028-01-06 | $90,018.56 | DE LAGE LANDEN FINANCIAL SERVICES, INC., 1111 OLD EAGLE SCHOOL ROAD, WAYNE, PA 19087 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-05-03 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-05-23 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-09 |
| ANNUAL REPORT | 2014-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
