| Entity Name: | PERITONEAL DIALYSIS SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PERITONEAL DIALYSIS SUPPLY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Dec 2002 (22 years ago) |
| Date of dissolution: | 24 Sep 2010 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (15 years ago) |
| Document Number: | L02000035104 |
| FEI/EIN Number |
542088490
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| Mail Address: | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275526113 | 2005-08-25 | 2008-04-10 | 1964 BAYSHORE BLVD SUITE C, DUNEDIN, FL, 346982576, US | 1964 BAYSHORE BLVD, SUITE C, DUNEDIN, FL, 346982576, US | |||||||||||||||||
|
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| Phone | +1 727-738-5255 |
| Fax | 7277330431 |
Authorized person
| Name | MRS. JUNE A. CLARK |
| Role | BUSINESS MANAGER |
| Phone | 7277385255 |
Taxonomy
| Taxonomy Code | 332BD1200X - Dialysis Equipment & Supplies (DME) |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMPBELL DANA A | Manager | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| RABADI KHALED | Manager | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| ROBARDS MICHAEL | Manager | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| RUSSO MARK S | Manager | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL, 34698 |
| CLARK JUNE A | Manager | 1964 BAYSHORE BLVD. STE C, DUNEDIN, FL, 34698 |
| CLARK JUNE A | Agent | 1964 BAYSHORE BLVD., DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-01 | 1964 BAYSHORE BLVD., SUITE C, DUNEDIN, FL 34698 | - |
| AMENDMENT | 2005-12-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-06-22 | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL 34698 | - |
| CHANGE OF MAILING ADDRESS | 2005-06-22 | 1964 BAYSHORE BLVD UNIT C, DUNEDIN, FL 34698 | - |
| REINSTATEMENT | 2003-12-05 | - | - |
| REGISTERED AGENT NAME CHANGED | 2003-12-05 | CLARK, JUNE A | - |
| AMENDMENT | 2003-12-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-26 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-05-01 |
| Amendment | 2005-12-28 |
| ANNUAL REPORT | 2005-01-29 |
| ANNUAL REPORT | 2004-02-27 |
| REINSTATEMENT | 2003-12-05 |
| Amendment | 2003-12-05 |
| Florida Limited Liabilites | 2002-12-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
