| Entity Name: | RYZE RENAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Oct 2023 (a year ago) |
| Document Number: | L23000494657 |
| FEI/EIN Number | 93-2488421 |
| Address: | 200 S MACDILL AVE, Ste 100B, TAMPA FL, FL 33609 |
| Mail Address: | 200 S MACDILL AVE, STE 100B, TAMPA FL, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043909120 | 2023-05-03 | 2024-01-22 | 200 S MACDILL AVE, TAMPA, FL, 336093532, US | 200 S MACDILL AVE, TAMPA, FL, 336093532, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-353-1268 |
Authorized person
| Name | DR. WANDA E CRUZ |
| Role | PRESIDENT |
| Phone | 8133531268 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 133VN1005X - Renal Nutrition Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 163WD1100X - Peritoneal Dialysis Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0500X - Hemodialysis Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 2472R0900X - Renal Dialysis Technician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Cruz, Wanda | Agent | 200 S MACDILL AVE, Ste 100B, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Cruz, Wanda | Authorized Member | 200 S MACDILL AVE, TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 200 S MACDILL AVE, Ste 100B, TAMPA FL, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-23 | 200 S MACDILL AVE, Ste 100B, TAMPA FL, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-23 | Cruz, Wanda | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-23 | 200 S MACDILL AVE, Ste 100B, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| Florida Limited Liability | 2023-10-30 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
