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KIDNEY CARE, LLC

Company Details

Entity Name: KIDNEY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 May 2006 (19 years ago)
Document Number: L06000051824
FEI/EIN Number 204948517
Address: 4686 PEMBROOK PLACE, ORLANDO, FL, 32811
Mail Address: P.O. BOX 780547, ORLANDO, FL, 32878
ZIP code: 32811
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689821241 2008-08-26 2011-02-09 2200 N ALAFAYA TRL, SUITE 600, ORLANDO, FL, 328263993, US 2200 N ALAFAYA TRL, SUITE 600, ORLANDO, FL, 328263993, US

Contacts

Phone +1 407-482-5588
Fax 4073585084

Authorized person

Name DR. AYAD SHUKUR
Role SOLE MANAGER/OWNER
Phone 4074738611

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
License Number 93764
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDNEY CARE CASH BALANCE PLAN 2021 471476009 2022-06-03 KIDNEY CARE, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9736195890
Plan sponsor’s address 661 E. ALTAMONTE DRIVE, SUITE 213, ALTAMONTE SPRINGS, FL, 32701

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-02
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
KIDNEY CARE 401(K) PROFIT SHARING PLAN 2021 471476009 2022-06-03 KIDNEY CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9736195890
Plan sponsor’s address 661 E. ALTAMONTE DRIVE, SUITE 213, ALTAMONTE SPRINGS, FL, 32701

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-02
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
KIDNEY CARE CASH BALANCE PLAN 2020 471476009 2021-07-27 KIDNEY CARE, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9736195890
Plan sponsor’s address 661 E. ALTAMONTE DRIVE, SUITE 213, ALTAMONTE SPRINGS, FL, 32701

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-19
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
KIDNEY CARE 401(K) PROFIT SHARING PLAN 2020 471476009 2021-09-08 KIDNEY CARE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9736195890
Plan sponsor’s address 661 E. ALTAMONTE DRIVE, SUITE 213, ALTAMONTE SPRINGS, FL, 32701

Signature of

Role Plan administrator
Date 2021-09-06
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-06
Name of individual signing SYED QADRI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHUKUR AYAD Agent 4686 PEMBROOK PLACE, ORLANDO, FL, 32811

Managing Member

Name Role Address
SHUKUR AYAD Managing Member 4686 PEMBROOK PLACE, ORLANDO, FL, 32811

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2008-03-07 4686 PEMBROOK PLACE, ORLANDO, FL 32811 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-01-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State