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MELBOURNE KIDNEY CENTER, INC. - Florida Company Profile

Company Details

Entity Name: MELBOURNE KIDNEY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Nov 1977 (48 years ago)
Date of dissolution: 01 Jul 2014 (11 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 Jul 2014 (11 years ago)
Document Number: 740678
FEI/EIN Number 591867582

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1400 SOUTH APOLLO BLVD., MELBOURNE, FL, 32901-3145
Mail Address: 1400 SOUTH APOLLO BLVD., MELBOURNE, FL, 32901-3145
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DETTMER DALE A Director 304 SOUTH HARBOR CITY BLVD SUITE 201, MELBOURNE, FL, 32901
SULLIVAN W. J. Director 15 BUMELIA COURT, HOMOSASSA, FL, 34446
DICK JEFF Director 2288 HAMLET DRIVE, MELBOURNE, FL, 32934
KROENING, JACK President 1300 PALM BAY RD NE SUITE 4, PALM BAY, FL, 329054019
KROENING, JACK Director 1300 PALM BAY RD NE SUITE 4, PALM BAY, FL, 329054019
DETTMER, DALE A. Agent 304 SOUTH HARBOR CITY BLVD, MELBOURNE, FL, 32901

National Provider Identifier

NPI Number:
1104823731

Authorized Person:

Name:
MRS. SADALIA BARTMAN GROSS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3213085002

Form 5500 Series

Employer Identification Number (EIN):
591867582
Plan Year:
2014
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
77
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
76
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
76
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
76
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000117517 NORTH MELBOURNE DIALYSIS EXPIRED 2010-12-22 2015-12-31 - 14 SUNTREE PLACE, SUITE 102, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
MERGER 2014-07-01 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 726583. MERGER NUMBER 900000141979
REGISTERED AGENT ADDRESS CHANGED 2008-01-11 304 SOUTH HARBOR CITY BLVD, SUITE 201, MELBOURNE, FL 32901 -

Documents

Name Date
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-23
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-01-14
ANNUAL REPORT 2008-01-11
ANNUAL REPORT 2007-01-10
ANNUAL REPORT 2006-01-20
ANNUAL REPORT 2005-01-14

Date of last update: 03 Jun 2025

Sources: Florida Department of State