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GULF COAST KIDNEY ASSOCIATES, PL - Florida Company Profile

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Company Details

Entity Name: GULF COAST KIDNEY ASSOCIATES, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2002 (23 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 31 Mar 2016 (9 years ago)
Document Number: L02000005390
FEI/EIN Number 800031974
Address: 1921 WALDMERE STREET, SUITE 306, SARASOTA, FL, 34239, US
Mail Address: 1921 WALDMERE STREET, SUITE 306, SARASOTA, FL, 34239, US
ZIP code: 34239
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
IMPERIO DENNIS RDr. Agent 1921 WALDMERE STREET, SARASOTA, FL, 34239
DENNIS IMPERIO MD PA Manager 6825 TALLMAST CIR, BRADENTON, FL, 34202
- Manager -
Kalakurthy Samantha MD PA Manager 1921 Waldemere Street, Sarasota, FL, 34239

National Provider Identifier

NPI Number:
1962467373

Authorized Person:

Name:
DR. ANDREW L. LAZIN
Role:
STAFF PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
9419178727

Form 5500 Series

Employer Identification Number (EIN):
800031974
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2016-03-31 - -
REGISTERED AGENT NAME CHANGED 2016-02-24 VANBUSKIRK, TODD T -
REGISTERED AGENT ADDRESS CHANGED 2016-02-24 333 TAMIAMI TRAIL SOUTH, SUITE 257, VENICE, FL 34285 -
CHANGE OF PRINCIPAL ADDRESS 2010-02-16 1921 WALDMERE STREET, SUITE 306, SARASOTA, FL 34239 -
CHANGE OF MAILING ADDRESS 2010-02-16 1921 WALDMERE STREET, SUITE 306, SARASOTA, FL 34239 -

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-02-11
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-02-09
ANNUAL REPORT 2017-02-23
LC Amendment 2016-03-31
ANNUAL REPORT 2016-02-24

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
104900.00
Total Face Value Of Loan:
104900.00
Date:
2020-04-30
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:
104900.00
Total Face Value Of Loan:
104900.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$104,900
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$104,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$105,874.28
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $104,900

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Date of last update: 01 Aug 2025

Sources: Florida Department of State