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PURE LIFE RENAL OF WEST PALM BEACH, LLC - Florida Company Profile

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Company Details

Entity Name: PURE LIFE RENAL OF WEST PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Oct 2018 (7 years ago)
Document Number: L18000231090
FEI/EIN Number 83-2100284
Address: 1522 North Dixie Highway, West Palm Beach, FL, 33401, US
Mail Address: 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021, US
ZIP code: 33401
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Role
Member
Agent

National Provider Identifier

NPI Number:
1013482215
Certification Date:
2020-12-30

Authorized Person:

Name:
JEFF FERNANDEZ
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-18 1522 North Dixie Highway, West Palm Beach, FL 33401 -
CHANGE OF MAILING ADDRESS 2018-10-23 1522 North Dixie Highway, West Palm Beach, FL 33401 -

Documents

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 2019-04-18
Florida Limited Liability 2018-10-01

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Date of last update: 01 Aug 2025

Sources: Florida Department of State