| Entity Name: | KIDNEY PLUS, PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jul 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Feb 2017 (8 years ago) |
| Document Number: | L16000130581 |
| FEI/EIN Number | 81-3265568 |
| Address: | 3810 Hollywood Blvd, suite 1, hollywood, FL 33021 |
| Mail Address: | 3810 Hollywood Blvd, suite 1, hollywood, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093264558 | 2016-09-26 | 2022-09-26 | 3810 HOLLYWOOD BLVD STE 1, HOLLYWOOD, FL, 330216779, US | 3810 HOLLYWOOD BLVD STE 1, HOLLYWOOD, FL, 330216779, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-800-0953 |
| Fax | 9548000956 |
Authorized person
| Name | DR. ABDUR RAHMAN BAIG |
| Role | OWNER |
| Phone | 9548000953 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME114665 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019780300 |
| State | FL |
| Issuer | FLORIDA BLUE |
| Number | DCM9M |
| State | FL |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| BAIG, ABDUR | Manager | 3810 Hollywood Blvd, suite 1 hollywood, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-13 | 4929 SW 74TH CT, 1st FL, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-01 | 3810 Hollywood Blvd, suite 1, hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-01 | 3810 Hollywood Blvd, suite 1, hollywood, FL 33021 | No data |
| LC AMENDMENT | 2017-02-27 | No data | No data |
| LC AMENDMENT | 2017-02-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-23 |
| LC Amendment | 2017-02-27 |
| ANNUAL REPORT | 2017-02-15 |
| LC Amendment | 2017-02-15 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
