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MIAMI BEACH ELITE DIALYSIS CLINIC, LLC

Company Details

Entity Name: MIAMI BEACH ELITE DIALYSIS CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Sep 2023 (a year ago)
Document Number: L23000413707
FEI/EIN Number 45-4623091
Address: 714 W 51 ST, SUITE 101, MIAMI BEACH, FL 33140
Mail Address: 100 E SAMPLE ROAD, 220, POMPANO BEACH, FL 33064
ZIP code: 33140
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932988037 2023-09-27 2024-01-25 714 W 51ST ST, MIAMI BEACH, FL, 331402615, US 714 W 51ST ST, MIAMI BEACH, FL, 331402615, US

Contacts

Phone +1 954-451-2431
Fax 8887817746
Phone +1 954-451-1431

Authorized person

Name ALEXANDER DELLON
Role DIRECTOR OF OPERATIONS
Phone 5612130337

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role
N'SYNC CONSULTING CORP Agent

Manager

Name Role
N'SYNC CONSULTING CORP Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000114874 PRESTIGE DIALYSIS CLINIC ACTIVE 2023-09-18 2028-12-31 No data 100 E SAMPLE ROAD STE 220, POMPANO BEACH, FL, 33064

Documents

Name Date
ANNUAL REPORT 2024-04-25
Florida Limited Liability 2023-09-05

Date of last update: 09 Feb 2025

Sources: Florida Department of State