| Entity Name: | CFA KIDNEY & HYPERTENSION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Mar 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L06000028969 |
| FEI/EIN Number | 204578296 |
| Address: | 587 E SR 434, STE 1011, LONGWOOD, FL, 32750, US |
| Mail Address: | P O BOX 915467, LONGWOOD, FL, 32791 |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538198783 | 2006-07-01 | 2011-03-03 | P O BOX 915467, LONGWOOD, FL, 327915467, US | 587 E STATE ROAD 434, SUITE 1011, LONGWOOD, FL, 327505284, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-214-4133 |
| Fax | 3212144216 |
Authorized person
| Name | DR. OLUFUNMILOLA OLUWAKEMI DARAMOLA-OGUNWUYI |
| Role | PRESIDENT |
| Phone | 3212144133 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | L06000028969 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CITRUS HEALTH CARE PLAN |
| Number | 14479901 |
| Issuer | CIGNA |
| Number | 7281278 |
| Issuer | RAILROAD MEDICARE |
| Number | DF1497 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 56284 |
| State | FL |
| Issuer | MEDICAID |
| Number | 276132700 |
| State | FL |
| Issuer | AVMED |
| Number | 303267 |
| Issuer | WELLCARE |
| Number | 354671 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DARAMOLA-OGUNWUYI OLUFUNMILOLA O | Agent | 1453 caring ct, Maitland, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| DARAMOLA-OGUNWUYI OLUFUNMILOLA O | Manager | 1453 caring ct, Maitland, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-22 | 587 E SR 434, STE 1011, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-22 | 1453 caring ct, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2007-07-16 | 587 E SR 434, STE 1011, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-16 | DARAMOLA-OGUNWUYI, OLUFUNMILOLA OOWNER | No data |
| LC AMENDED AND RESTATED ARTICLES | 2006-06-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-22 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-02-05 |
| ANNUAL REPORT | 2009-01-23 |
| ANNUAL REPORT | 2008-01-04 |
| ANNUAL REPORT | 2007-07-16 |
| LC Amended and Restated Art | 2006-06-21 |
| Florida Limited Liability | 2006-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
