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CROWN DIALYSIS CENTER OF PALM BEACH, LLC

Company Details

Entity Name: CROWN DIALYSIS CENTER OF PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Aug 2011 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 03 Oct 2012 (12 years ago)
Document Number: L11000091553
FEI/EIN Number 452939730
Address: 4701 NORTH FEDERAL HWY, BOCA RATON, FL, 33431, US
Mail Address: 4701 NORTH FEDERAL HWY, BOCA RATON, FL, 33431, US
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750660247 2011-08-15 2011-08-19 4701 N FEDERAL HWY, BOCA RATON, FL, 334315135, US 4701 N FEDERAL HWY, BOCA RATON, FL, 334315135, US

Contacts

Phone +1 954-993-5757
Fax 9545775776

Authorized person

Name BHARAT K GUPTA
Role MEMBER MANAGER
Phone 9549935757

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role Address
Gupta Bharat Agent 30 COMPASS ISLE, FORT LAUDERDALE, FL, 33308

Manager

Name Role Address
AMBA LIMITED PARTNERSHIP Manager 30 COMPASS ISLE, FORT LAUDERDALE, FL, 33308

Co

Name Role Address
Gupta Bharat Co 30 Compass IS, FORT LAUDERDALE, FL, FL, 33308

Treasurer

Name Role Address
Gupta Bharat Treasurer 30 Compass IS, FORT LAUDERDALE, FL, FL, 33308

President

Name Role Address
Gupta Bharat President 4701 N. Federal Hwy, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-09 Gupta, Bharat No data
CHANGE OF MAILING ADDRESS 2014-01-10 4701 NORTH FEDERAL HWY, BOCA RATON, FL 33431 No data
REINSTATEMENT 2012-10-03 No data No data
LC AMENDMENT 2012-10-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-02-08
ANNUAL REPORT 2019-03-10
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-30
ANNUAL REPORT 2015-01-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State