| Entity Name: | KIDNEY PARTNERS CORAL GABLES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jul 2019 (6 years ago) |
| Document Number: | L19000180378 |
| FEI/EIN Number | 84-4137383 |
| Mail Address: | P.O. Box 352348, Miami, FL 33135 |
| Address: | 835 SW 37TH AVE, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396355525 | 2020-08-03 | 2020-08-03 | 219 NW 12TH AVE STE C4, MIAMI, FL, 331282205, US | 835 SW 37TH AVE, MIAMI, FL, 331354289, US | |||||||||||||||
|
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| Phone | +1 305-329-2900 |
| Fax | 3053292901 |
Authorized person
| Name | DR. JUAN M CUELLAR |
| Role | CEO |
| Phone | 3053292900 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| POLARIS TAX & ACCOUNTING LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SMITH, DANIEL J | President | P.O. Box 352348, Miami, FL 33135 |
| Name | Role | Address |
|---|---|---|
| CUELLAR, JUAN M, Dr. | Chief Executive Officer | P.O. Box 352348, Miami, FL 33135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000024378 | KIDNEY SPA - CORAL GABLES | ACTIVE | 2021-02-19 | 2026-12-31 | No data | 219 NW AVE., UNIT C4, MIAMI, FL, 33128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-17 | 835 SW 37TH AVE, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 140 S. University Drive, Suite B, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-10 | Polaris Tax & Accounting | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-01 | 835 SW 37TH AVE, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-07 |
| Florida Limited Liability | 2019-07-23 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
