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 |
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
CB&G SERVICES, INC. | Agent |
Name | Role | Address |
---|---|---|
TUDOR DAN TM.D. | Manager | 2751 ENTERPRISE ROAD,, ORANGE CITY, FL, 32763 |
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 |
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