| Entity Name: | UNIVERSITY ARTIFICIAL KIDNEY CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Oct 2002 (22 years ago) |
| Document Number: | L02000027555 |
| FEI/EIN Number | 200216562 |
| Mail Address: | 1299 E COMMERCIAL BLVD, SUITE 200, OAKLAND PARK, FL, 33334 |
| Address: | 1299 E. COMMERCIAL BOULEVARD, OAKLAND PARK, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609856293 | 2006-01-19 | 2020-08-22 | 7061 CYPRESS RD, SUITE 104, PLANTATION, FL, 333172243, US | 7950 SW 30TH ST, DAVIE, FL, 333281900, US | |||||||||||||||||||||||||
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| Phone | +1 954-474-7701 |
| Fax | 9544747702 |
| Phone | +1 954-577-2778 |
| Fax | 9545772710 |
Authorized person
| Name | MS. VICKI L BURRIER |
| Role | DIRECTOR/VICE-PRESIDENT |
| Phone | 9544747701 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER NO |
| Number | VH5 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURRIER VICTORIA A | Agent | 1299 E COMMERCIAL BLVD, OAKLAND PARK, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| SPIRA BRENDA | Manager | 1299 E COMMERCIAL BLVD SUITE 200, OAKLAND PARK, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2013-11-18 | No data | No data |
| NAME CHANGE AMENDMENT | 2003-10-13 | UNIVERSITY ARTIFICIAL KIDNEY CENTER, L.L.C. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
