| Entity Name: | KIDNEY CLINIC OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KIDNEY CLINIC OF JACKSONVILLE, 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. |
| 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: | 17 Aug 2009 (16 years ago) |
| Document Number: | L09000078982 |
| FEI/EIN Number |
800466449
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | Managing Member | 14546 OLD ST. AUGUSTINE ROAD, STE. 107, JACKSONVILLE, FL, 32258 |
| MANSUR KADIR | Agent | 14540 OLD ST. AUGUSTINE ROAD,, 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 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-12 | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL 32258 | - |
| CHANGE OF MAILING ADDRESS | 2019-03-12 | 14540 OLD ST. AUGUSTINE ROAD,, STE. 2397, JACKSONVILLE, FL 32258 | - |
| REGISTERED AGENT NAME CHANGED | 2011-01-12 | MANSUR, KADIR | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4929517710 | 2020-05-01 | 0491 | PPP | 14540 OLD ST AUGUSTINE ROAD SUITE 2397, JACKSONVILLE, FL, 32258 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
