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PALM BEACH NEPHROLOGY CARE PLLC

Company Details

Entity Name: PALM BEACH NEPHROLOGY CARE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 23 Apr 2020 (5 years ago)
Date of dissolution: 24 Apr 2024 (10 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Apr 2024 (10 months ago)
Document Number: L20000108866
FEI/EIN Number 85-0900418
Address: 11380 Prosperity Farms Road, Palm Beach Gardens, FL, 33410, US
Mail Address: 1165 Islamorada Drive, Jupiter, FL, 33458, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679198162 2020-06-10 2020-06-10 5707 LAKEVIEW MEWS DR, BOYNTON BEACH, FL, 334371517, US 1210 S OLD DIXIE HWY, JUPITER, FL, 334587205, US

Contacts

Phone +1 917-209-9990
Fax 7182282680

Authorized person

Name DR. YANA SHTERN
Role PRESIDENT
Phone 9172099990

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Agent

Name Role Address
SHTERN YANA MD Agent 11380 Prosperity Farms Road, Palm Beach Gardens, FL, 33410

Authorized Representative

Name Role Address
SHTERN YANA MD Authorized Representative 1165 Islamorada Drive, Jupiter, FL, 33458

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-04-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-09 11380 Prosperity Farms Road, STE 114, Palm Beach Gardens, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-09 11380 Prosperity Farms Road, STE 114, Palm Beach Gardens, FL 33410 No data
CHANGE OF MAILING ADDRESS 2021-04-14 11380 Prosperity Farms Road, STE 114, Palm Beach Gardens, FL 33410 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-04-24
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-14
Florida Limited Liability 2020-04-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State