| Entity Name: | KP ACUPUNCTURE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Nov 2012 (12 years ago) |
| Document Number: | P12000096116 |
| FEI/EIN Number | 46-1422775 |
| Address: | 112 EVELYN AVENUE, CLEARWATER, FL, 33765 |
| Mail Address: | 112 EVELYN AVENUE, CLEARWATER, FL, 33765 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093051450 | 2012-12-12 | 2012-12-12 | 112 EVELYN AVE, CLEARWATER, FL, 337654303, US | 112 EVELYN AVE, CLEARWATER, FL, 337654303, US | |||||||||||||||||
|
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| Phone | +1 813-765-2493 |
Authorized person
| Name | KELLY ANN POTTS |
| Role | ACUPUNCTURE PHYSICIAN |
| Phone | 8137652493 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 3176 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POTTS KELLY | Agent | 112 EVELYN AVENUE, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| POTTS KELLY | President | 112 EVELYN AVENUE, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| POTTS ERIC C | Secretary | 112 EVELYN AVENUE, CLEARWATER, FL, 33765 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-03-05 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
