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INNOVATIVE DIALYSIS, LLC

Company Details

Entity Name: INNOVATIVE DIALYSIS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 19 May 2017 (8 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L17000111397
FEI/EIN Number APPLIED FOR
Address: 795 BOSTWICK DRIVE, KEY LARGO, FL 33037
Mail Address: 795 BOSTWICK DRIVE, KEY LARGO, FL 33037
ZIP code: 33037
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912420753 2017-07-24 2017-07-24 795 BOSTWICK DR, KEY LARGO, FL, 330372706, US 795 BOSTWICK DR, KEY LARGO, FL, 330372706, US

Contacts

Phone +1 954-764-7695

Authorized person

Name WENDY WOODS
Role ADMINISTRATOR
Phone 9547647695

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
WOODS, WENDY Agent 795 BOSTWICK DRIVE, KEY LARGO, FL 33037

Manager

Name Role Address
WOODS, WENDY Manager 795 BOSTWICK DRIVE, KEY LARGO, FL 33037

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2019-05-01 No data No data
REGISTERED AGENT NAME CHANGED 2019-05-01 WOODS, WENDY No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
REINSTATEMENT 2019-05-01
Florida Limited Liability 2017-05-19

Date of last update: 19 Jan 2025

Sources: Florida Department of State