| Entity Name: | SUNSTATE KIDNEY & HYPERTENSION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Feb 2019 (6 years ago) |
| Document Number: | L19000035526 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 9211 Parthenon, Seffner, FL, 33584, US |
| Mail Address: | 9211 Parthenon, Seffner, FL, 33584, US |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427617265 | 2019-06-06 | 2024-09-11 | 9211 PARTHENON PL, SEFFNER, FL, 335842659, US | 9211 PARTHENON PL, SEFFNER, FL, 335842659, US | |||||||||||||||||||
|
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| Phone | +1 407-255-1758 |
Authorized person
| Name | MUHAMMAD ZUBAIR SAEED MALIK |
| Role | PRESIDENT |
| Phone | 4072551758 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004868200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAEED MALIK MUHAMMAD Z | Agent | 9211 Parthenon, Seffner, FL, 33584 |
| Name | Role | Address |
|---|---|---|
| SAEED MALIK MUHAMMAD Z | Manager | 9211 Parthenon, Seffner, FL, 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-04 | 9211 Parthenon, Seffner, FL 33584 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-24 | 9211 Parthenon, Seffner, FL 33584 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-24 | 9211 Parthenon, Seffner, FL 33584 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-04 |
| AMENDED ANNUAL REPORT | 2023-10-24 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
