| Entity Name: | DUSAN DRAGOVIC MD FASN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2012 (13 years ago) |
| Document Number: | L12000004737 |
| FEI/EIN Number | 45-4216983 |
| Address: | 5300 WEST HILLSBORO BLVD, 206, COCONUT CREEK, FL, 33073 |
| Mail Address: | 5300 WEST HILLSBORO BLVD, 206, COCONUT CREEK, FL, 33073 |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558620591 | 2012-05-11 | 2012-05-11 | 5300 W HILLSBORO BLVD, 206, COCONUT CREEK, FL, 330734395, US | 5300 W HILLSBORO BLVD, 206, COCONUT CREEK, FL, 330734395, US | |||||||||||||||||
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| Phone | +1 954-420-9908 |
Authorized person
| Name | DUSAN DRAGOVIC |
| Role | MD |
| Phone | 9544209908 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME89623 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DRAGOVIC DUSAN | Agent | 5300 w hillsboro blvd, coconut creek, FL, 33073 |
| Name | Role | Address |
|---|---|---|
| DRAGOVIC DUSAN | Managing Member | 5300 WEST HILLSBORO BLVD, COCONUT CREEK, FL, 33073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000074374 | KIDNEY WELLNESS CENTER | ACTIVE | 2023-06-20 | 2028-12-31 | No data | 5300 W HILLSBORO BLVD, SUITE 206, COCONUT CREEK, FL, 33073 |
| G12000007767 | KIDNEY WELLNESS CENTER | EXPIRED | 2012-01-23 | 2017-12-31 | No data | 5300 W HILLSBORO BLVD, SUITE 206, COCONUT CREEK, FL, 33073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-09 | 5300 w hillsboro blvd, suite 206, coconut creek, FL 33073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-06-17 |
| ANNUAL REPORT | 2022-06-24 |
| ANNUAL REPORT | 2021-05-14 |
| ANNUAL REPORT | 2020-07-12 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-02-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6840237701 | 2020-05-01 | 0455 | PPP | 5300 W HILLSBORO BLVD, COCONUT CREEK, FL, 33073-4395 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
