| Entity Name: | KIDNEY INSTITUTE OF MIAMI LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Apr 2022 (3 years ago) |
| Document Number: | L22000197150 |
| FEI/EIN Number | 88-1963120 |
| Address: | 5040 NW 7TH ST, SUITE 635, MIAMI, FL 33126 |
| Mail Address: | 5040 NW 7TH ST, SUITE 635, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548904238 | 2022-04-27 | 2023-10-31 | PO BOX 524102, MIAMI, FL, 331524102, US | 5040 NW 7TH ST STE 635, MIAMI, FL, 331263796, US | |||||||||||||||||||||
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| Phone | +1 305-644-2212 |
| Fax | 7864757787 |
Authorized person
| Name | DR. JEFFREY DE JESUS MALDONADO |
| Role | OWNER |
| Phone | 3056442212 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1679912117 |
| State | FL |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MALDONADO, JEFFREY D, MD | Manager | 5040 NW 7TH ST. SUITE 635, MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-14 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 4929 SW 74TH CT, 1ST FL, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-31 |
| Florida Limited Liability | 2022-04-25 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
