| Entity Name: | HYPERTENSION KIDNEY AND STONE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Mar 2024 (10 months ago) |
| Document Number: | L16000174951 |
| FEI/EIN Number | 81-3925623 |
| Address: | 5344 9TH STREET, STE 107, ZEPHYRHILLS, FL 33539 |
| Mail Address: | PO BOX 2619, ZEPHYRHILLS, FL 33539 |
| ZIP code: | 33539 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134679293 | 2016-10-12 | 2019-07-02 | PO BOX 2619, ZEPHYRHILLS, FL, 335392619, US | 12811 N NEBRASKA AVE STE I, TAMPA, FL, 336124401, US | |||||||||||||||||||
|
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| Phone | +1 813-724-3868 |
| Fax | 8137243992 |
Authorized person
| Name | GEORGE S MUTHALAKUZHY |
| Role | PRESIDENT/PROVIDER |
| Phone | 8137243868 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME104902 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUTHALAKUZHY, GEORGE | Agent | 5344 9TH STREET, STE 107, ZEPHYRHILLS, FL 33539 |
| Name | Role | Address |
|---|---|---|
| MUTHALAKUZHY, GEORGE | Managing Member | PO BOX 2619, ZEPHYRHILLS, FL 33539 |
| Name | Role | Address |
|---|---|---|
| PRINCIPE, ASHLEY | Chief Executive Officer | PO BOX 2619, ZEPHYRHILLS, FL 33539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-18 | 5344 9TH STREET, STE 107, ZEPHYRHILLS, FL 33539 | No data |
| REINSTATEMENT | 2024-03-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-18 | 5344 9TH STREET, STE 107, ZEPHYRHILLS, FL 33539 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-18 | 5344 9TH STREET, STE 107, ZEPHYRHILLS, FL 33539 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2018-04-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-02 | MUTHALAKUZHY, GEORGE | No data |
| REINSTATEMENT | 2017-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-03-18 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-07-02 |
| ANNUAL REPORT | 2018-06-18 |
| LC Amendment | 2018-04-06 |
| REINSTATEMENT | 2017-10-02 |
| Florida Limited Liability | 2016-09-19 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
