| Entity Name: | DAYTONA BEACH NEPHROLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Mar 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Dec 2023 (a year ago) |
| Document Number: | L19000082894 |
| FEI/EIN Number | 83-4204463 |
| Address: | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
| Mail Address: | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376193029 | 2019-09-16 | 2021-08-31 | 1728 DUNLAWTON AVE STE 4, PORT ORANGE, FL, 321272923, US | 1728 DUNLAWTON AVE STE 4, PORT ORANGE, FL, 321272923, US | |||||||||||||||
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| Phone | +1 386-304-8302 |
| Fax | 3863048204 |
Authorized person
| Name | RAJDEEP SINGH GADH |
| Role | OWNER |
| Phone | 3863048302 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOVANI, MAULIK | Agent | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| Basdeo, Luke | Authorized Member | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
| Govani, Maulik C | Authorized Member | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-12-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-07 | GOVANI, MAULIK | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-05 | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-05 | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 | No data |
| LC AMENDMENT | 2023-01-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-05 | 544 HEALTH BLVD., DAYTONA BEACH, FL 32114 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-26 |
| REINSTATEMENT | 2023-12-07 |
| LC Amendment | 2023-01-05 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-01-29 |
| Florida Limited Liability | 2019-03-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5409947700 | 2020-05-01 | 0491 | PPP | 335 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 32174 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
