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KAM VIRTUAL THERAPEUTIC SERVICES, INC.

Company Details

Entity Name: KAM VIRTUAL THERAPEUTIC SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Jun 2020 (5 years ago)
Date of dissolution: 18 Jul 2024 (6 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Jul 2024 (6 months ago)
Document Number: P20000045172
FEI/EIN Number 85-1550298
Address: 11266 LAKE MANDARIN CIRCLE EAST, C/O KELLY MINOR, JACKSONVILLE, FL 32223
Mail Address: 11266 LAKE MANDARIN CIRCLE EAST, C/O KELLY MINOR, JACKSONVILLE, FL 32223
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205445327 2020-07-24 2022-03-16 7643 GATE PKWY STE 104-941, JACKSONVILLE, FL, 322562893, US 11266 LAKE MANDARIN CIR E, JACKSONVILLE, FL, 322237811, US

Contacts

Phone +1 904-720-2090
Fax 9044909998
Phone +1 904-705-6130

Authorized person

Name MS. KELLY ANN MINOR
Role PRESIDENT
Phone 9047202090

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Minor, Kelly A Agent 11266 LAKE MANDARIN CIRCLE EAST, C/O KELLY MINOR, JACKSONVILLE, FL 32223

President

Name Role Address
MINOR, KELLY A President 11266 LAKE MANDARIN CIRCLE EAST, JACKSONVILLE, FL 32223

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000082278 KAM VIRTUAL ACTIVE 2020-07-14 2025-12-31 No data KAM VIRTUAL THERAPEUTIC SERVICES, 7643 GATE PARKWAY, SUITE 104-941, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-07-18 No data No data
REGISTERED AGENT NAME CHANGED 2024-01-29 Minor, Kelly A No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-29 11266 LAKE MANDARIN CIRCLE EAST, C/O KELLY MINOR, JACKSONVILLE, FL 32223 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-07-18
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-03
Domestic Profit 2020-06-15

Date of last update: 15 Jan 2025

Sources: Florida Department of State