| Entity Name: | KIDNEY SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 May 2007 (18 years ago) |
| Document Number: | L07000054585 |
| FEI/EIN Number | 260302464 |
| Mail Address: | P.O. Box 352348, Miami, FL, 33135, US |
| Address: | 219 NW 12TH AVE, Suite C4, MIAMI, FL, 33128, US |
| ZIP code: | 33128 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316127921 | 2007-11-12 | 2012-10-05 | 219 NW 12TH AVE, SUITE C5, MIAMI, FL, 331282205, US | 219 NW 12TH AVE, UNIT C4, MIAMI, FL, 331282205, US | |||||||||||||||
|
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| Phone | +1 305-329-2900 |
| Fax | 3053292901 |
Authorized person
| Name | DR. JUAN M CUELLAR |
| Role | MEDICAL DIRECTOR |
| Phone | 3053292900 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| POLARIS TAX & ACCOUNTING LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CUELLAR JUAN M | Manager | P.O. Box 352348, Miami, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-17 | 219 NW 12TH AVE, Suite C4, MIAMI, FL 33128 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 140 S. Univeristy Drive, Suite B, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-10 | Polaris Tax & Accounting | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-01 | 219 NW 12TH AVE, Suite C4, MIAMI, FL 33128 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
