| Entity Name: | KIDNEYSPA HIALEAH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Nov 2020 (4 years ago) |
| Document Number: | L20000346067 |
| FEI/EIN Number | 87-2426745 |
| Mail Address: | P.O. Box 352348, Miami, FL 33135 |
| Address: | 4286 Palm Avenue, Hialeah, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801519137 | 2022-09-21 | 2023-10-16 | 219 NW 12TH AVE APT 508, MIAMI, FL, 331282206, US | 4286 PALM AVE, HIALEAH, FL, 330124454, US | |||||||||||||||||
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| Phone | +1 305-329-2900 |
| Fax | 3053292901 |
| Fax | 3054285698 |
Authorized person
| Name | DR. JUAN M CUELLAR |
| Role | CEO |
| Phone | 3053292900 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| POLARIS TAX & ACCOUNTING LLC | Agent |
| Name | Role |
|---|---|
| KIDNEY PARTNERS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-17 | 4286 Palm Avenue, Hialeah, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 140 S. University Drive, Suite B, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-10 | 4286 Palm Avenue, Hialeah, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-10 | Polaris Tax & Accounting | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-11-12 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
