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KIDNEY HOME, LLC

Company Details

Entity Name: KIDNEY HOME, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Sep 2013 (11 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: L13000126339
FEI/EIN Number 46-3643169
Address: 2751 ENTERPRISE ROAD,, ORANGE CITY, FL, 32763, US
Mail Address: 2751 ENTERPRISE ROAD,, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598191272 2013-09-25 2013-09-26 PO BOX 1881, SANFORD, FL, 327721881, US 2751 ENTERPRISE RD, SUITE 215, ORANGE CITY, FL, 327638256, US

Contacts

Phone +1 407-323-5047
Fax 4073235048

Authorized person

Name DAN T TUDOR
Role OWNER
Phone 4073235047

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
License Number ME94020
State FL
Is Primary Yes

Agent

Name Role
CB&G SERVICES, INC. Agent

Manager

Name Role Address
TUDOR DAN TM.D. Manager 2751 ENTERPRISE ROAD,, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-09-24 2751 ENTERPRISE ROAD,, SUITE 215, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2013-09-24 2751 ENTERPRISE ROAD,, SUITE 215, ORANGE CITY, FL 32763 No data

Documents

Name Date
ANNUAL REPORT 2014-03-31
Florida Limited Liability 2013-09-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State