| Entity Name: | WEST ORANGE PALM COAST DIALYSIS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Aug 2018 (7 years ago) |
| Document Number: | L18000187738 |
| FEI/EIN Number | 83-2815153 |
| Address: | 57 TOWN COURT, PALM COAST, FL, 32164, US |
| Mail Address: | 1210 EAST PLANT STREET, SUITE 120, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972074086 | 2018-12-16 | 2018-12-16 | 1210 E PLANT ST STE 120, WINTER GARDEN, FL, 347872995, US | 57 TOWN CT STE 118, PALM COAST, FL, 321642425, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-297-8408 |
Authorized person
| Name | MR. AKIN AWOSIKA |
| Role | CFO |
| Phone | 4079275873 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AWOSIKA BANJI | Agent | 1210 EAST PLANT STREET, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| AWOSIKA BANJI | Manager | 1210 E PLANT STREET, SUITE 120, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| ST MATTHEW DANIEL TEJUMADE | Authorized Member | 1407 SELBYDON WAY, WINTER GARDEN, FL, 34787 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-16 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-30 |
| Florida Limited Liability | 2018-08-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
