| Entity Name: | KIDNEYSPA TAMPA BAY HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Apr 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 17 May 2023 (2 years ago) |
| Document Number: | L23000195808 |
| FEI/EIN Number | 93-1405409 |
| Address: | 508 S HABANA AVE, SUITE 270, TAMPA, FL 33609 |
| Mail Address: | P.O. Box 352348, Miami, FL 33135 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952091241 | 2023-05-10 | 2023-05-30 | 219 NW 12TH AVE APT 508, MIAMI, FL, 331282206, US | 508 S HABANA AVE STE 270, TAMPA, FL, 336094198, US | |||||||||||||||
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| Phone | +1 305-548-4000 |
| Fax | 3053292901 |
Authorized person
| Name | JUAN M CUELLAR |
| Role | CEO |
| Phone | 3055484000 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| POLARIS TAX & ACCOUNTING LLC | Agent |
| Name | Role |
|---|---|
| KIDNEY PARTNERS, LLC | Authorized Member |
| TAMPA BAY RENAL, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-17 | 508 S HABANA AVE, SUITE 270, TAMPA, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-17 | POLARIS TAX & ACCOUNTING | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 140 S. University Drive, Suite B, Plantation, FL 33324 | No data |
| LC NAME CHANGE | 2023-05-17 | KIDNEYSPA TAMPA BAY HOME, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| LC Name Change | 2023-05-17 |
| Florida Limited Liability | 2023-04-20 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
