| Entity Name: | KIDNEY INSTITUTE OF CLEARWATER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 May 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L05000053110 |
| FEI/EIN Number | 202920218 |
| Address: | 617 LAKEVIEW ROAD, SUITE C, CLEARWATER, FL, 33756-3338 |
| Mail Address: | 1964 BAYSHORE BLVD., SUITE C, DUNEDIN, FL, 34698 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427073097 | 2006-07-13 | 2007-11-30 | 1964 BAYSHORE BLVD, SUITE C, DUNEDIN, FL, 346982576, US | 617 LAKEVIEW RD, SUITE C, CLEARWATER, FL, 337563338, US | |||||||||||||||||||
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| Phone | +1 727-733-2040 |
| Fax | 7277330431 |
| Phone | +1 727-441-2913 |
| Fax | 7274414291 |
Authorized person
| Name | JUNE A. CLARK |
| Role | VICE PRESIDENT |
| Phone | 7277332040 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK JUNE A | Agent | 1964 BAYSHORE BLVD, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| THE KIDNEY GROUP, LLC | Managing Member | 19275 ALTA VISTA CIRCLE, BROOKFIELD, WI, 53045 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-26 | 617 LAKEVIEW ROAD, SUITE C, CLEARWATER, FL 33756-3338 | No data |
| CHANGE OF MAILING ADDRESS | 2006-05-01 | 617 LAKEVIEW ROAD, SUITE C, CLEARWATER, FL 33756-3338 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-05-01 | CLARK, JUNE A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-01 | 1964 BAYSHORE BLVD, SUITE C, DUNEDIN, FL 34698 | No data |
| AMENDMENT | 2005-06-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-26 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-05-01 |
| Amendment | 2005-06-20 |
| Florida Limited Liabilites | 2005-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
