| Entity Name: | ELITE DIALYSIS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Nov 2020 (4 years ago) |
| Document Number: | L20000366997 |
| FEI/EIN Number | 85-4143378 |
| Address: | 6101 NW 61st Ave, PARKLAND, FL, 33067, US |
| Mail Address: | 6101 NW 61st Ave, PARKLAND, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063111524 | 2023-02-23 | 2023-02-23 | 6101 NW 61ST AVE, PARKLAND, FL, 330674403, US | 8201 N UNIVERSITY DR, TAMARAC, FL, 333211709, US | |||||||||||||
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| Phone | +1 954-798-2424 |
Authorized person
| Name | MOHAMAD EL KASSEM |
| Role | OWNER |
| Phone | 9547982424 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EL KASSEM MOHAMAD E | Agent | 6101 NW 61st Ave, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| KASSEM MOHAMAD E | Manager | 6101 NW 61st Ave, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| Agarwala Rajesh | Member | 9773 Palma Vista Way, Boca Raton, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-03 | 6101 NW 61st Ave, PARKLAND, FL 33067 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-03 | 6101 NW 61st Ave, PARKLAND, FL 33067 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-11-03 | 6101 NW 61st Ave, PARKLAND, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-02 |
| AMENDED ANNUAL REPORT | 2021-11-03 |
| ANNUAL REPORT | 2021-03-03 |
| Florida Limited Liability | 2020-11-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
