| Entity Name: | GRAND DIALYSIS SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Oct 2015 (9 years ago) |
| Date of dissolution: | 25 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | L15000170783 |
| FEI/EIN Number | 47-5253487 |
| Address: | 7765 JOHNSON STREET, Pembroke Pines, FL, 33024, US |
| Mail Address: | 7765 Johnson Street, Pembroke Pines, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659745149 | 2015-11-20 | 2020-08-11 | 7765 JOHNSON ST, PEMBROKE PINES, FL, 330246856, US | 500 N. HIATUS ROAD, SUITE 105, PEMBROKE PINES, FL, 33026, US | |||||||||||||||||
|
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| Phone | +1 954-962-9640 |
Authorized person
| Name | KEITH CARRASCO |
| Role | ADMINISTRATOR |
| Phone | 9549629640 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| License Number | L15000170783 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tan-Carrasco Grace | Agent | 220 NW 151 Avenue, Pembroke Pines, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| HEALTHCARE BUSINESS GROUP LLC | Manager | No data |
| Gulati Manjit Dr. | Manager | 10726 Charleston Place, Cooper City, FL, 33026 |
| Estabillo Ruben | Manager | 3253 NW 104th Avenue, Sunrise, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-17 | 7765 JOHNSON STREET, Pembroke Pines, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-15 | 7765 JOHNSON STREET, Pembroke Pines, FL 33024 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-15 | Tan-Carrasco, Grace | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-15 | 220 NW 151 Avenue, Pembroke Pines, FL 33028 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-15 |
| AMENDED ANNUAL REPORT | 2019-05-21 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-02-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
