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PURE LIFE RENAL OF SANFORD, LLC - Florida Company Profile

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Company Details

Entity Name: PURE LIFE RENAL OF SANFORD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Oct 2020 (5 years ago)
Document Number: L20000330452
FEI/EIN Number 85-3656645
Address: 2680 S Orlando Drive, Sanford, FL, 32773, US
Mail Address: C/O 4000 HOLLYWOOD BLVD, SUITE 300N, HOLLYWOOD, FL, 33021
ZIP code: 32773
City: Sanford
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Member -
CORPORATE CRREATIONS NETWORK INC. Agent 801 US HIGHWAY 1, NORTH PALM BEACH, FL, 33408

National Provider Identifier

NPI Number:
1770163941
Certification Date:
2022-08-12

Authorized Person:

Name:
JEFF FERNANDEZ
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-30 2680 S Orlando Drive, Sanford, FL 32773 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-10-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State