| Entity Name: | KIDNEY CLINIC OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2009 (15 years ago) |
| Document Number: | L09000078982 |
| FEI/EIN Number | 800466449 |
| Address: | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL, 32258, US |
| Mail Address: | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427281971 | 2009-09-01 | 2009-12-31 | 14546 OLD SAINT AUGUSTINE RD, 301, JACKSONVILLE, FL, 322585468, US | 14546 OLD SAINT AUGUSTINE RD, 301, JACKSONVILLE, FL, 322585468, US | |||||||||||||||
|
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| Phone | +1 904-296-8980 |
| Fax | 9042960698 |
Authorized person
| Name | KADIR MANSUR |
| Role | PRESIDENT/CO-OWNER |
| Phone | 9042968980 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANSUR KADIR | Agent | 14540 OLD ST. AUGUSTINE ROAD,, JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| MANSUR KADIR | Managing Member | 14546 OLD ST. AUGUSTINE ROAD, STE. 107, JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-11 | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL 32258 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-12 | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL 32258 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-12 | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL 32258 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-12 | MANSUR, KADIR | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
