| Entity Name: | KIDNEY SPECIALISTS OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2020 (5 years ago) |
| Document Number: | L20000012794 |
| FEI/EIN Number | 84-4388306 |
| Address: | 9299 SW 152ND ST., SUITE 206, MIAMI, FL, 33157 |
| Mail Address: | PO BOX 652256, MIAMI, FL, 33265 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083243497 | 2020-04-07 | 2020-04-07 | PO BOX 652256, MIAMI, FL, 332652256, US | 9299 SW 152ND ST STE 206, PALMETTO BAY, FL, 331571776, US | |||||||||||
|
|||||||||||||||
| Name | JOSE M CARDONA-GUZMAN |
| Role | OWNER |
| Phone | 7873903570 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARDONA-GUZMAN JOSE M | Agent | 9299 SW 152ND ST., MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| CARDONA-GUZMAN JOSE M | Manager | 9299 SW 152ND ST. SUITE 206, MIAMI, FL, 33157 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
