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RENVIVA DIALYSIS CENTER OF SARASOTA COUNTY LLC - Florida Company Profile

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Company Details

Entity Name: RENVIVA DIALYSIS CENTER OF SARASOTA COUNTY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 May 2024 (a year ago)
Document Number: L24000206360
FEI/EIN Number 99-2816444
Address: 5504 PINEBROOK ROAD, SUITE 203, NOKOMIS, FL, 34725, US
Mail Address: 4930 BROOKSVIEW CIRCLE, NEW ALBANY, OH, 43054, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAH REHAN Manager 5504 PINEBROOK ROAD, NOKOMIS, FL, 34725
SHAH REHAN Agent 4930 BROOKSVIEW CIRCLE, NEW ALBANY, FL, 43054

National Provider Identifier

NPI Number:
1649015355
Certification Date:
2024-09-05

Authorized Person:

Name:
AKINYINKA AWOSIKA
Role:
MEMBER MANAGER
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-13
Florida Limited Liability 2024-05-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State