| Entity Name: | EAST COAST NEPHROLOGY ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Nov 2002 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Nov 2022 (2 years ago) |
| Document Number: | L02000031618 |
| FEI/EIN Number | 030495420 |
| Mail Address: | 759 N. BEACH STREET, ORMOND BEACH, FL, 32174, US |
| Address: | 335 CLYDE MORRIS BLVD., 260, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841210432 | 2006-07-19 | 2012-07-02 | P.O. BOX 731268, ORMOND BEACH, FL, 321731268, US | 335 CLYDE MORRIS BLVD, SUITE 260, ORMOND BRACH, FL, 32174, US | |||||||||||||||||||||||||
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| Phone | +1 386-672-4001 |
| Fax | 3866724006 |
Authorized person
| Name | DR. JOSCELYN PETER SINGH |
| Role | OWNER/PROVIDER |
| Phone | 3866724001 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME0063880 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 378275100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SINGH J. PETER M | Agent | 759 N. BEACH STREET, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| SINGH J. PETER | Managing Member | 759 N. BEACH STREET, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-11-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-04 | SINGH, J. PETER MGRM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-27 | 759 N. BEACH STREET, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-27 | 335 CLYDE MORRIS BLVD., 260, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-06 | 335 CLYDE MORRIS BLVD., 260, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-31 |
| REINSTATEMENT | 2022-11-22 |
| REINSTATEMENT | 2021-10-04 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
