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KIDNEY SPA, LLC - Florida Company Profile

Company Details

Entity Name: KIDNEY SPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

KIDNEY SPA, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 23 May 2007 (18 years ago)
Document Number: L07000054585
FEI/EIN Number 260302464

Federal Employer Identification (FEI) Number assigned by the IRS.

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
CUELLAR JUAN M Manager P.O. Box 352348, Miami, FL, 33135
POLARIS TAX & ACCOUNTING LLC Agent -

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-17 219 NW 12TH AVE, Suite C4, MIAMI, FL 33128 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-17 140 S. Univeristy Drive, Suite B, Plantation, FL 33324 -
REGISTERED AGENT NAME CHANGED 2023-03-10 Polaris Tax & Accounting -
CHANGE OF PRINCIPAL ADDRESS 2021-02-01 219 NW 12TH AVE, Suite C4, MIAMI, FL 33128 -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4658907107 2020-04-13 0455 PPP 219 NW 12 Avenue C4, MIAMI, FL, 33128-2205
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 461135
Loan Approval Amount (current) 461135
Undisbursed Amount 0
Franchise Name -
Lender Location ID 283144
Servicing Lender Name U.S. Century Bank
Servicing Lender Address 2301 NW 87th Ave, DORAL, FL, 33172-2403
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33128-2205
Project Congressional District FL-27
Number of Employees 41
NAICS code 621492
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Partnership
Originating Lender ID 283144
Originating Lender Name U.S. Century Bank
Originating Lender Address DORAL, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 464091.32
Forgiveness Paid Date 2020-12-09

Date of last update: 02 Apr 2025

Sources: Florida Department of State