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  5. SOUTH FLORIDA NEPHROLOGY GROUP, P.A.

SOUTH FLORIDA NEPHROLOGY GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: SOUTH FLORIDA NEPHROLOGY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SOUTH FLORIDA NEPHROLOGY GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Sep 1988 (37 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 16 Oct 2008 (17 years ago)
Document Number: K33574
FEI/EIN Number 650074501

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071, US
Mail Address: 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071, US
ZIP code: 33071
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326136144 2006-10-10 2011-05-13 722 RIVERSIDE DR, CORAL SPRINGS, FL, 330717008, US 722 RIVERSIDE DR, CORAL SPRINGS, FL, 330717008, US

Contacts
Phone +1 954-345-4333
Fax 9543454334

Authorized person
Name DR. RACHAEL BLOOMFIELD
Role OWNER
Phone 9543454333

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 1326136144
State FL
Issuer TRICARE
Number 1326136144

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2014 650074501 2015-09-22 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2013 650074501 2014-08-11 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071

Signature of
Role Plan administrator
Date 2014-08-11
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2012 650074501 2013-09-12 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071

Plan administrator’s name and address
Administrator’s EIN 650074501
Plan administrator’s name SOUTH FLORIDA NEPHROLOGY GROUP, P.A.
Plan administrator’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071
Administrator’s telephone number 9543454333

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2011 650074501 2012-09-17 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071

Plan administrator’s name and address
Administrator’s EIN 650074501
Plan administrator’s name SOUTH FLORIDA NEPHROLOGY GROUP, P.A.
Plan administrator’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071
Administrator’s telephone number 9543454333

Signature of
Role Plan administrator
Date 2012-09-17
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2010 650074501 2011-08-23 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071

Plan administrator’s name and address
Administrator’s EIN 650074501
Plan administrator’s name SOUTH FLORIDA NEPHROLOGY GROUP, P.A.
Plan administrator’s address 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071
Administrator’s telephone number 9543454333

Signature of
Role Plan administrator
Date 2011-08-23
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 401(K) RETIREMENT PLAN 2009 650074501 2010-09-30 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9543454333
Plan sponsor’s address 8130 ROYAL PALM BLVD, SUITE 102, CORAL SPRINGS, FL, 33065

Plan administrator’s name and address
Administrator’s EIN 650074501
Plan administrator’s name SOUTH FLORIDA NEPHROLOGY GROUP, P.A.
Plan administrator’s address 8130 ROYAL PALM BLVD, SUITE 102, CORAL SPRINGS, FL, 33065
Administrator’s telephone number 9543454333

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing ASGHAR CHAUDHRY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHAUDHRY ASGHAR A President 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 330717009
GADH RAJDEEP Vice President 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 330717009
JACOB RADU Assistant Secretary 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 330717009
Fernandez Victor Asst 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071
CHAUDHRY ASGHAR MD Agent 7647 NW 127TH MANOR, PARKLAND, FL, 33076

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-04 CHAUDHRY, ASGHAR, MD -
REGISTERED AGENT ADDRESS CHANGED 2019-02-04 7647 NW 127TH MANOR, PARKLAND, FL 33076 -
CHANGE OF PRINCIPAL ADDRESS 2011-04-18 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL 33071 -
CHANGE OF MAILING ADDRESS 2011-04-18 722 RIVERSIDE DRIVE, CORAL SPRINGS, FL 33071 -
CANCEL ADM DISS/REV 2008-10-16 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
NAME CHANGE AMENDMENT 2000-12-15 SOUTH FLORIDA NEPHROLOGY GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-07
Reg. Agent Change 2019-02-04
AMENDED ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2019-01-02
ANNUAL REPORT 2018-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3712117103 2020-04-12 0455 PPP 722 Riverside Dr, Coral Springs, FL, 33071
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 352500
Loan Approval Amount (current) 301000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Coral Springs, BROWARD, FL, 33071-3900
Project Congressional District FL-23
Number of Employees 21
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 302663.22
Forgiveness Paid Date 2021-02-12

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CHAUDHRY ASGHAR A

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GADH RAJDEEP

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JACOB RADU

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URBAN MALL DEVELOPMENT, LLC - Active
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URBAN MALL DEVELOPMENT, LLC - Active
Florida Limited Liability Co. (2021 )
URBAN HOME 1 , LLC - Inactive
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Florida Limited Liability Co. (2021 - 2022)
URBAN MALL 2 LLC. - Active
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URBAN MALL DEVELOPMENT INC. - Inactive
Domestic Profit (2015 - 2021)

Fernandez Victor

LAKESIDE COMMONS BUSINESS CENTER CONDOMINIUM ASSOCIATION, INC. - Active
Domestic Non-Profit (1997 )
BATHROOMS GALORE & MORE INC. - Inactive
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FERNANDEZ TOWING INC. - Inactive
Domestic Profit (2018 - 2020)

Companies related by address

722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071, US

SOUTH FLORIDA NEPHROLOGY RESEARCH LLC NATIONWIDE CREDIT CARD & DATA SERVICES, L.L.C.

722 RIVERSIDE DRIVE, CORAL SPRINGS, FL, 33071, US

SOUTH FLORIDA NEPHROLOGY RESEARCH LLC NATIONWIDE CREDIT CARD & DATA SERVICES, L.L.C.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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