| Entity Name: | MIAMI-ARA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2001 (24 years ago) |
| Document Number: | L01000001628 |
| FEI/EIN Number | 04-3548124 |
| Address: | 920 Winter St., Waltham, MA, 02451, US |
| Mail Address: | 920 Winter St., Waltham, MA, 02451, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003826090 | 2006-08-09 | 2023-10-23 | 100 NW 170TH ST STE 106, NORTH MIAMI BEACH, FL, 331695510, US | 100 NW 170TH ST STE 106, NORTH MIAMI BEACH, FL, 331695510, US | |||||||||||||||||||||
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| Phone | +1 305-650-8822 |
| Fax | 3056509553 |
Authorized person
| Name | BARRY L. BLANTON |
| Role | VICE PRESIDENT |
| Phone | 7816999000 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890009400 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mello Bryan | Auth | 920 Winter St., Waltham, MA, 02451 |
| Name | Role | Address |
|---|---|---|
| SUPERMAN SPINCO, LLC | Member | 920 Winter St., Waltham, MA, 02451 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000122522 | FRESENIUS KIDNEY CARE NORTH MIAMI BEACH | ACTIVE | 2022-09-29 | 2027-12-31 | No data | 100 NW 170TH ST STE 106, NORTH MIAMI BEACH, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-06-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
