| Entity Name: | HOLLYWOOD ARTIFICIAL KIDNEY CENTER, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Partnership |
| Status: | Inactive |
| Date Filed: | 06 Apr 1995 (30 years ago) |
| Date of dissolution: | 02 Dec 2013 (11 years ago) |
| Last Event: | LP CERTIFICATE OF DISSOLUTION |
| Event Date Filed: | 02 Dec 2013 (11 years ago) |
| Document Number: | A95000000554 |
| FEI/EIN Number | 65-0582509 |
| Mail Address: | 1299 E COMMERCIAL BLVD, SUITE 200, OAKLAND PARK, FL 33334 |
| Address: | 1299 E. COMMERCIAL BOULEVARD, SUITE 200, FORT LAUDERDALE, FL 33334 |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467432138 | 2006-01-19 | 2011-02-14 | 7061 CYPRESS RD, SUITE 104, PLANTATION, FL, 333172243, US | 1 OAKWOOD BLVD, SUITE 100, HOLLYWOOD, FL, 330201956, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-474-7701 |
| Fax | 9544747702 |
| Phone | +1 954-894-7500 |
| Fax | 9548947700 |
Authorized person
| Name | MRS. VICKI L BURRIER |
| Role | DIRECTOR VICE-PRESIDENT |
| Phone | 9544747701 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 211645600 |
| State | FL |
| Issuer | BC/BS PROVIDER NO |
| Number | V5R |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN, JONNA, J.D. | Agent | SABADELL BANK AND TRUST, 2000 PGA BOULEVARD, 2104, NORTH PALM BEACH, FL 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LP CERTIFICATE OF DISSOLUTION | 2013-12-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-23 | 1299 E. COMMERCIAL BOULEVARD, SUITE 200, FORT LAUDERDALE, FL 33334 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-23 | BROWN, JONNA, J.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-23 | SABADELL BANK AND TRUST, 2000 PGA BOULEVARD, 2104, NORTH PALM BEACH, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-22 | 1299 E. COMMERCIAL BOULEVARD, SUITE 200, FORT LAUDERDALE, FL 33334 | No data |
| AMENDMENT | 2001-07-11 | No data | No data |
| CONTRIBUTION CHANGE | 1997-07-03 | No data | No data |
| Name | Date |
|---|---|
| LP Certificate of Dissolution | 2013-12-02 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-02-22 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-04-18 |
| ANNUAL REPORT | 2006-04-05 |
| ANNUAL REPORT | 2005-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
