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  5. CLINIC FOR KIDNEY DISEASES, P.A.

CLINIC FOR KIDNEY DISEASES, P.A. - Florida Company Profile

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Company Details

Entity Name: CLINIC FOR KIDNEY DISEASES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 May 1989 (36 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Nov 1997 (28 years ago)
Document Number: K90131
FEI/EIN Number 592954451
Address: 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
Mail Address: 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
ZIP code: 32204
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JAYADEVAPPA DINESH M Manager 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
JAYADEVAPPA DINESH M Director 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
GUPTA BRIJENDRA Manager 2585 HERSCHAL STREET, JACKSONVILLE, FL, 32204
GUPTA BRIJENDRA Director 2585 HERSCHAL STREET, JACKSONVILLE, FL, 32204
NAHAR NILAY Manager 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
NAHAR NILAY Director 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
AURE SHAUN Manager 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
AURE SHAUN Director 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
KRISH PRASANTH Manager 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204
KRISH PRASANTH Director 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204

Unique Entity ID

CAGE Code:
654Y6
UEI Expiration Date:
2021-02-05

Business Information

Activation Date:
2020-02-06
Initial Registration Date:
2010-09-24

Commercial and government entity program

CAGE number:
654Y6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-01-22
CAGE Expiration:
2026-12-27
SAM Expiration:
2023-01-22

Contact Information

POC:
ROBIN HAMILTON

National Provider Identifier

NPI Number:
1467471672
Link:
View on NPI website

Authorized Person:

Name:
DR. DINESH JAYADEVAPPA
Role:
PRESIDENT
Phone:
9043882678

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-388-2678
Fax:
9043886776

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2009-04-20 JAYADEVAPPA, DINESH EMD -
REINSTATEMENT 1997-11-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 - -
CHANGE OF PRINCIPAL ADDRESS 1991-07-05 2585 HERSCHEL STREET, JACKSONVILLE, FL 32204 -
CHANGE OF MAILING ADDRESS 1991-07-05 2585 HERSCHEL STREET, JACKSONVILLE, FL 32204 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-03-11

USAspending Awards / Financial Assistance

Date:
2020-05-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
349977.50
Total Face Value Of Loan:
349977.50

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$349,977.5
Date Approved:
2020-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$349,977.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$352,499.26
Servicing Lender:
VyStar CU
Use of Proceeds:
Payroll: $349,977.5

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2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204

ANTHONY J. VAZ, M.D., P.A.
Domestic Profit
ANTHONY J. VAZ, M.D., P.A., which currently Inactive, had registered address 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204.
ANTHONY J. VAZ, M.D., P.A.
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ANTHONY J. VAZ, M.D., P.A., which currently Inactive, had registered address 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204.
PROFESSIONAL ASSOCIATED REALTY, INC.
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PROFESSIONAL ASSOCIATED REALTY, INC., which currently Inactive, had registered address 2585 HERSCHEL STREET, JACKSONVILLE, FL, 32204.
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Date of last update: 01 Jul 2025

Sources: Florida Department of State

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