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KIDNEY AND HYPERTENSION OF THE PALM BEACHES, PLLC - Florida Company Profile

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Company Details

Entity Name: KIDNEY AND HYPERTENSION OF THE PALM BEACHES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Oct 2019 (6 years ago)
Document Number: L19000253959
FEI/EIN Number 83-0665347
Address: 101 John F Kennedy Drive, Atlantis, FL, 33462, US
Mail Address: 101 John F Kennedy Drive, Atlantis, FL, 33462, US
ZIP code: 33462
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ABDELWAHED YEHIA Manager 101 John F Kennedy Drive, Atlantis, FL, 33462
MALIK SHABAN Agent 9000 NW 44TH STREET, SUNRISE, FL, 33351

National Provider Identifier

NPI Number:
1174009344
Certification Date:
2023-05-22

Authorized Person:

Name:
YEHIA ABDELWAHED
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
5616128084

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 101 John F Kennedy Drive, Atlantis, FL 33462 -
CHANGE OF MAILING ADDRESS 2024-04-23 101 John F Kennedy Drive, Atlantis, FL 33462 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-02-09
Florida Limited Liability 2019-10-09

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Date of last update: 03 Aug 2025

Sources: Florida Department of State