| Entity Name: | WELLCARE DIALYSIS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Dec 2021 (3 years ago) |
| Document Number: | L21000532616 |
| FEI/EIN Number | 87-4135537 |
| Address: | 4589 PURDUE DR, BOYNTON BEACH, FL 33436 UN |
| Mail Address: | 4589 PURDUE DR, BOYNTON BEACH 33436 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174232011 | 2022-11-18 | 2022-11-18 | 4589 PURDUE DR, BOYNTON BEACH, FL, 334367715, US | 4589 PURDUE DR, BOYNTON BEACH, FL, 334367715, US | |||||||||||||
|
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| Phone | +1 561-315-1227 |
Authorized person
| Name | MRS. EMMANUELLA BAZILME NERELUS |
| Role | OWNER |
| Phone | 5613151227 |
Taxonomy
| Taxonomy Code | 163WH0500X - Hemodialysis Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NERELUS, EMMANUELLA B | Agent | 4589 PURDUE DR, BOYNTON BEACH, FL 33436 |
| Name | Role | Address |
|---|---|---|
| NERELUS, EMMANUELLA | Manager | 4589 PURDUE DR, BOYNTON BEACH, FL 33436 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 4589 PURDUE DR, BOYNTON BEACH, FL 33436 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-12-20 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
