| Entity Name: | SDA DIALYSIS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Apr 2019 (6 years ago) |
| Document Number: | L19000109576 |
| FEI/EIN Number | 84-1799381 |
| Address: | 3911 Hollywood blvd, Hollywood, FL, 33021, US |
| Mail Address: | 209 N FORT LAUDERDALE BEACH BLVD, 3 D, FORT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841885233 | 2021-03-08 | 2021-03-08 | PO BOX 7496, FORT LAUDERDALE, FL, 333387496, US | 3911 HOLLYWOOD BLVD STE 104, HOLLYWOOD, FL, 330216795, US | |||||||||||||||||
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| Phone | +1 917-803-9091 |
| Fax | 9542084533 |
| Phone | +1 954-880-5553 |
Authorized person
| Name | DR. SAMER DIAB AGHA |
| Role | CEO |
| Phone | 9178039091 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAB AGHA SAMER | Agent | 209 N FORT LAUDERDALE BEACH BLVD, FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| DIAB AGHA SAMER DR. | Manager | 209 N FORT LAUDERDALE BEACH BLVD, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 3911 Hollywood blvd, 104, Hollywood, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-02-03 |
| Florida Limited Liability | 2019-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
