| Entity Name: | FLORIDA KEYS NURSE REGISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Aug 1997 (27 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P97000070465 |
| FEI/EIN Number | 650775070 |
| Address: | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Mail Address: | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063689610 | 2008-05-13 | 2008-05-13 | 3434 RIVIERA DR, KEY WEST, FL, 330404611, US | 3434 RIVIERA DR, KEY WEST, FL, 330404611, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-296-9997 |
| Fax | 3052950395 |
Authorized person
| Name | MS. MARCIA PETERS |
| Role | OWNER/DIRECTOR |
| Phone | 3052969997 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 3016096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE WAIVER |
| Number | 810559696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETERS MARCIA | Agent | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| PETERS MARCIA J | President | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| PETERS MARCIA J | Secretary | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| PETERS MARCIA J | Treasurer | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| PETERS MARCIA J | Director | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000085647 | GRISWOLD SPECIAL CARE OF THE FLORIDA KEYS | EXPIRED | 2011-08-30 | 2016-12-31 | No data | 3434 RIVIERA DRIVE, KEY WEST, FL, 33040, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-05 | PETERS, MARCIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-05 | 3434 RIVIERA DRIVE, KEY WEST, FL 33040 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-05 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-01-10 |
| ANNUAL REPORT | 2015-01-08 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
