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KIDNEY CARE OF BONITA SPRINGS LLC

Company Details

Entity Name: KIDNEY CARE OF BONITA SPRINGS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Aug 2021 (3 years ago)
Document Number: L21000369975
FEI/EIN Number 87-2395222
Address: 4960 SW 72 AVE, # 208, MIAMI, FL 33155
Mail Address: 4960 SW 72 AVE, # 208, MIAMI, FL 33155 UN
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548966930 2023-02-07 2023-02-07 4960 SW 72ND AVE STE 208, MIAMI, FL, 331555549, US 26381 S TAMIAMI TRL STE 122, BONITA SPRINGS, FL, 341347803, US

Contacts

Phone +1 305-448-6261
Phone +1 239-388-7770
Fax 2393195826

Authorized person

Name FEDERICO 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 Address
ARC DIALYIS LLC Manager 4960 SW 72 AVE, # 208, MIAMI, FL 33155
APOLLO X, LLC Manager No data

Documents

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

Date of last update: 13 Jan 2025

Sources: Florida Department of State