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KELLY & WOLF, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: KELLY & WOLF, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Dec 1999 (26 years ago)
Date of dissolution: 21 Sep 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Sep 2023 (2 years ago)
Document Number: P99000105191
FEI/EIN Number 650965636
Mail Address: 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021, US
Address: 9408 SW 87th Avenue, SUITE 301, MIAMI, FL, 33176, US
ZIP code: 33176
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WOLF CARLOS L Director 8940 N. KENDALL DRIVE SUITE 903-E, MIAMI, FL, 33176
- Agent -
Schillinger Jeffrey Chief Executive Officer 4000 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021

National Provider Identifier

NPI Number:
1750635769

Authorized Person:

Name:
MICHAEL E KELLY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
650965636
Plan Year:
2019
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
35
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
34
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000001786 MPS MEDSPA ACTIVE 2021-01-05 2026-12-31 - 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021
G16000097453 MIAMI PLASTIC SURGERY ACTIVE 2016-09-07 2027-12-31 - 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021
G14000132401 MPS MEDSPA EXPIRED 2014-12-31 2019-12-31 - 8940 NORTH KENDALL DRIVE, SUITE 903-E, MIAMI, FL, 33176

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-09-21 - -
CHANGE OF PRINCIPAL ADDRESS 2022-08-25 9408 SW 87th Avenue, SUITE 301, MIAMI, FL 33176 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-27 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL 33021 -
CHANGE OF MAILING ADDRESS 2020-02-18 9408 SW 87th Avenue, SUITE 301, MIAMI, FL 33176 -
REGISTERED AGENT NAME CHANGED 2019-04-03 Dermcare Management -
NAME CHANGE AMENDMENT 2013-11-20 KELLY & WOLF, M.D., P.A. -

Documents

Name Date
Voluntary Dissolution 2023-09-21
ANNUAL REPORT 2023-04-11
AMENDED ANNUAL REPORT 2022-11-16
AMENDED ANNUAL REPORT 2022-08-25
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-18
AMENDED ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-03-30

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Date of last update: 01 Aug 2025

Sources: Florida Department of State