| Entity Name: | COMPASS NEPHROLOGY CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jan 2023 (2 years ago) |
| Document Number: | L23000045209 |
| FEI/EIN Number | 922177171 |
| Address: | 2685 EXECUTIVE PARK DRIVE, SUITE 5, WESTON, FL, 33331, US |
| Mail Address: | 2685 EXECUTIVE PARK DRIVE, SUITE 5, WESTON, FL, 33331, US |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053008318 | 2023-04-18 | 2023-12-05 | 2685 EXECUTIVE PARK DR STE 5, WESTON, FL, 333313651, US | 2685 EXECUTIVE PARK DR STE 5, WESTON, FL, 333313651, US | |||||||||||||||||
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| Phone | +1 954-590-0556 |
Authorized person
| Name | CHARLES AARON BONANNO |
| Role | SOLE PROPRIETOR |
| Phone | 9545900556 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPASS NEPHROLOGY 401K | 2023 | 922177171 | 2024-07-10 | COMPASS NEPHROLOGY CARE PLLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-10 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BONANNO CHARLES A | Agent | 398 LAKEVIEW DRIVE, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| BONANNO CHARLES A | Manager | 398 LAKEVIEW DRIVE, UNIT 103, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-07-11 | 2685 EXECUTIVE PARK DRIVE, SUITE 5, WESTON, FL 33331 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-22 | 2685 EXECUTIVE PARK DRIVE, SUITE 5, WESTON, FL 33331 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| Florida Limited Liability | 2023-01-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
