| Entity Name: | RAPHA KIDNEY CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
RAPHA KIDNEY CENTER PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 May 2018 (7 years ago) |
| Document Number: | L18000113335 |
| FEI/EIN Number |
81-0977823
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6218 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 6218 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972079713 | 2018-10-19 | 2020-08-31 | PO BOX 141032, GAINESVILLE, FL, 326141032, US | 1548B S WATER ST, STARKE, FL, 320914511, US | |||||||||||||||
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| Phone | +1 352-346-3127 |
| Fax | 3525816226 |
Authorized person
| Name | OLUTAYO OLABIGE |
| Role | OWNER |
| Phone | 3523463127 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAPHA KIDNEY CENTER 401(K) PLAN | 2023 | 810977823 | 2024-05-13 | RAPHA KIDNEY CENTER PLLC | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6466238106 |
| Plan sponsor’s address | 3053 SW 115TH TER, GAINESVILLE, FL, 32608 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6466238106 |
| Plan sponsor’s address | 3053 SW 115TH TER, GAINESVILLE, FL, 32608 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-02 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523463127 |
| Plan sponsor’s address | 3053 SW 115TH TER, GAINESVILLE, FL, 32608 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-22 |
| Name of individual signing | CAROL HO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OLABIGE OLUTAYO Dr. | Authorized Member | 3053 SW 115TH TERRACE, GAINESVILLE, FL, 32608 |
| OLAYIOYE-OLABIGE OYERONKE R | PRAC | 6218 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429 |
| OLABIGE OLUTAYO | Agent | 3053 SW 115TH TERRACE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 6218 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL 34429 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 6218 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL 34429 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-06 |
| Florida Limited Liability | 2018-05-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4759658905 | 2021-04-29 | 0491 | PPS | 3053 SW 115th Ter, Gainesville, FL, 32608-0011 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5825747110 | 2020-04-14 | 0455 | PPP | 922 E CALL STREET SPECIALTY CLINIC, MELBOURNE, FL, 32901 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
