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ARA-ORANGE PARK LLC - Florida Company Profile

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Company Details

Entity Name: ARA-ORANGE PARK LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Oct 2001 (24 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 May 2022 (3 years ago)
Document Number: L01000017845
FEI/EIN Number 04-3579269
Address: 500 Cummings Center, Beverly, MA, 01915, US
Mail Address: 2141 Loch Rane Blvd, Orange Park, FL, 32073, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Attmore George Manager 500 Cummings Center, Beverly, MA, 01915
Mendez Nick Manager 1550 W McEwen Dr, Franklin, TN, 37067
Kamal Syed T. Manager 500 Cummings Center, Beverly, MA, 01915
Kotihal MD Ramesh Manager 500 Cummings Center, Beverly, MA, 01915
Baker MD James D. III Manager 500 Cummings Center, Beverly, MA, 01915
- Member -

Unique Entity ID

Unique Entity ID:
G4CRXC9BF7X6
CAGE Code:
9PY27
UEI Expiration Date:
2025-09-11

Business Information

Activation Date:
2024-09-13
Initial Registration Date:
2023-10-02

National Provider Identifier

NPI Number:
1033135306
Certification Date:
2023-01-10

Authorized Person:

Name:
MRS. SARA ANNE BRADY
Role:
CHIEF NURSING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
9042729425

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000116059 NORTHEAST FLORIDA DIALYSIS CENTER ACTIVE 2011-12-01 2026-12-31 - 2141 LOCH RANE BLVD, SUITE 115, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-22 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
CHANGE OF MAILING ADDRESS 2023-02-22 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
LC STMNT OF RA/RO CHG 2022-05-17 - -
REGISTERED AGENT NAME CHANGED 2022-05-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-05-17 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-02-22
CORLCRACHG 2022-05-17
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-17

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Date of last update: 02 Jul 2025

Sources: Florida Department of State