| Entity Name: | FIRST PREVENTION & DIALYSIS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Dec 2014 (10 years ago) |
| Document Number: | L14000019497 |
| FEI/EIN Number | 46-5747145 |
| Address: | 17940 NW 27th Ave, Miami Gardens, FL, 33056, US |
| Mail Address: | 17940 NW 27th Ave, Miami Gardens, FL, 33056, US |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710373634 | 2015-04-07 | 2015-04-07 | 8363 PINES BLVD, PEMBROKE PINES, FL, 330246607, US | 17940 NW 27TH AVE, MIAMI GARDENS, FL, 330563505, US | |||||||||||||||
|
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| Phone | +1 305-318-3169 |
| Fax | 9543918913 |
Authorized person
| Name | MRS. BETTY JEAN VERBAL |
| Role | CEO |
| Phone | 3053183169 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mitchell S. Polansky, PA | Agent | 999 Brickell Avenue, Suite 600, Miami, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYL O | Manager | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| VERBAL BETTY | Manager | 8363 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-06-09 | 17940 NW 27th Ave, Miami Gardens, FL 33056 | No data |
| CHANGE OF MAILING ADDRESS | 2016-06-09 | 17940 NW 27th Ave, Miami Gardens, FL 33056 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-30 | Mitchell S. Polansky, PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 999 Brickell Avenue, Suite 600, Miami, FL 33131 | No data |
| LC AMENDMENT | 2014-12-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-28 |
| AMENDED ANNUAL REPORT | 2016-06-09 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
