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KG THERAPEUTIC SERVICES, INC.

Company Details

Entity Name: KG THERAPEUTIC SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 07 Feb 2018 (7 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P18000013021
Address: 5520 SW 3RD STREET, PLANTATION, FL 33317
Mail Address: 5520 SW 3RD STREET, PLANTATION, FL 33317
ZIP code: 33317
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699279984 2018-03-21 2018-03-21 5520 SW 3RD ST, PLANTATION, FL, 333173582, US 5520 SW 3RD ST, PLANTATION, FL, 333173582, US

Contacts

Phone +1 954-440-2696

Authorized person

Name MARGARET GIVENTER
Role OFFICE MANAGER
Phone 9548169586

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role Address
HOUSTON, BART A Agent 1401 E. BROWARD BLVD, SUITE 201, FT. LAUDERDALE, FL 33301

President

Name Role Address
KIESS, MARK President 5520 SW 3RD STREET, PLANTATION, FL 33317

Vice President

Name Role Address
GIVENTER, MARGARET Vice President 5520 SW 3RD STREET, PLANTATION, FL 33317

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000031298 WELL CARE REHABILITATION CENTER EXPIRED 2018-03-06 2023-12-31 No data 5500 NW 69TH AVENUE, #161, LAUDERHILL, FL, 33319

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
AMENDMENT 2018-05-14 No data No data

Documents

Name Date
Amendment 2018-05-14
Domestic Profit 2018-02-07

Date of last update: 18 Jan 2025

Sources: Florida Department of State