| Entity Name: | DIALYSIS CARE CENTER BROOKSVILLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2021 (4 years ago) |
| Document Number: | L21000234252 |
| FEI/EIN Number | 87-0827330 |
| Address: | 7179 BROAD STREET, BROOKSVILLE, FL, 35601 |
| Mail Address: | 15801 S. BELL DRIVE, HOMER GLEN, IL, 60491, UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093381915 | 2021-06-01 | 2021-09-07 | PO BOX 3134, JOLIET, IL, 604343134, US | 7179 BROAD ST, BROOKSVILLE, FL, 346015536, US | |||||||||||||||||||
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| Phone | +1 815-714-7170 |
| Fax | 6306724980 |
| Phone | +1 352-848-3689 |
| Fax | 3527774958 |
Authorized person
| Name | MORUFU OLATUNJI ALAUSA |
| Role | MEDICAL DIRECTOR |
| Phone | 8157416830 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| DIALYSIS CARE CENTER HOLDINGS LLC | Manager | 15801 S. BELL DRIVE, HOMER GLEN, IL, 60491 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
