| Entity Name: | PURE LIFE RENAL OF NAPLES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Aug 2017 (7 years ago) |
| Document Number: | L17000168278 |
| FEI/EIN Number | 82-2411538 |
| Address: | 3540 Pine Ridge Road, Naples, FL 34109 |
| Mail Address: | 4000 HOLLYWOOD BOULEVARD, 300N, HOLLYWOOD, FL 33021 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942776893 | 2018-10-18 | 2022-08-12 | 4000 HOLLYWOOD BLVD STE 300N, HOLLYWOOD, FL, 330211242, US | 3540 PINE RIDGE RD, NAPLES, FL, 341093928, US | |||||||||||||
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| Phone | +1 954-962-5733 |
Authorized person
| Name | JEFF FERNANDEZ |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9549625733 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUMAN, BRYAN | Agent | 15851 SW 41ST STREET, SUITE 600, DAVIE, FL 33331 |
| Name | Role |
|---|---|
| PURE LIFE RENAL, INC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-29 | 3540 Pine Ridge Road, Naples, FL 34109 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-06-28 |
| Florida Limited Liability | 2017-08-07 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
