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KIDNEY CARE OF LABELLE LLC

Company Details

Entity Name: KIDNEY CARE OF LABELLE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Aug 2021 (3 years ago)
Document Number: L21000369588
FEI/EIN Number 87-3015566
Address: 4960 SW 72 AVE, # 208, MIAMI, FL 33155
Mail Address: 4960 SW 72 AVE, # 208, MIAMI, FL 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306616404 2024-01-09 2024-01-09 4960 SW 72ND AVE STE 208, MIAMI, FL, 331555549, US 50 N BRIDGE ST STE 200, LABELLE, FL, 339355083, US

Contacts

Phone +1 305-448-6261
Fax 3054486268
Phone +1 863-339-7040

Authorized person

Name FEDERICO A DUMENIGO
Role CHIEF EXECUTIVE OFFICER
Phone 3054486261

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role
ARC DIALYSIS, LLC Agent

Manager

Name Role
ARC DIALYSIS, LLC Manager
APOLLO IX, LLC Manager

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-02-18
Florida Limited Liability 2021-08-17

Date of last update: 13 Jan 2025

Sources: Florida Department of State