| Entity Name: | PURE LIFE RENAL OF SANFORD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2020 (4 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 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770163941 | 2021-04-12 | 2022-08-12 | 4000 HOLLYWOOD BLVD STE 300N, HOLLYWOOD, FL, 330211242, US | 2680 S ORLANDO DR, SANFORD, FL, 327735339, US | |||||||||||||
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| Phone | +1 954-962-5733 |
Authorized person
| Name | JEFF FERNANDEZ |
| Role | CFO |
| Phone | 9549625733 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATE CRREATIONS NETWORK INC. | Agent | 801 US HIGHWAY 1, NORTH PALM BEACH, FL, 33408 |
| Name | Role |
|---|---|
| PURE LIFE RENAL, INC. | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 2680 S Orlando Drive, Sanford, FL 32773 | No data |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
