| Entity Name: | PALM BEACH NEPHROLOGY PARTNERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2016 (8 years ago) |
| Document Number: | L16000225192 |
| FEI/EIN Number | 81-4695583 |
| Address: | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL 33470 |
| Mail Address: | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164968970 | 2017-01-17 | 2017-01-17 | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL, 334709206, US | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL, 334709206, US | |||||||||||||||||||
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| Phone | +1 561-798-4600 |
| Fax | 5617981132 |
Authorized person
| Name | DR. FERNANDO ENRIQUE OTTINO |
| Role | MANAGER |
| Phone | 5619141277 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME111442 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION COMPANY OF MIAMI | Agent |
| Name | Role | Address |
|---|---|---|
| OTTINO, FERNANDO, M.D. | Manager | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL 33470 |
| Name | Role | Address |
|---|---|---|
| OTTINO, FERNANDO, M.D. | Authorized Member | 13005 STATE ROAD 80, SUITE 141, LOXAHATCHEE, FL 33470 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-18 |
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-02 |
| AMENDED ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2017-01-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2834247307 | 2020-04-29 | 0455 | PPP | 13005 State Road 80 Suite 141, Loxahatchee, FL, 33470 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
