| Entity Name: | ELITE NEPHROLOGY PARTNERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2021 (4 years ago) |
| Document Number: | L21000135651 |
| FEI/EIN Number | 86-3076489 |
| Address: | 8201 N UNIVERSITY DR., TAMARAC, FL, 33321, US |
| Mail Address: | 8201 N UNIVERSITY DR., TAMARAC, FL, 33321, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538749544 | 2021-04-13 | 2021-04-13 | 8201 N UNIVERSITY DR, TAMARAC, FL, 333211709, US | 8201 N UNIVERSITY DR, TAMARAC, FL, 333211709, US | |||||||||||||
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| Phone | +1 954-798-7114 |
Authorized person
| Name | SARIKA BADGAMIA |
| Role | BILLING MANAGER |
| Phone | 9544154421 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EL KASSEM MOHAMAD | Agent | 5951 NW 65TH CT, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| EL KASSEM MOHAMAD | Manager | 5951 NW 65TH CT, PARKLAND, FL, 33067 |
| AGARWALA RAJESH | Manager | 9773 PALMA VISTA WAY, BOCA RATON, FL, 33428 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-05-02 |
| Florida Limited Liability | 2021-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
