| Entity Name: | RENVIVA DIALYSIS CENTER OF SARASOTA COUNTY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 May 2024 (9 months ago) |
| Document Number: | L24000206360 |
| Address: | 5504 PINEBROOK ROAD, SUITE 203, NOKOMIS, FL, 34725, US |
| Mail Address: | 4930 BROOKSVIEW CIRCLE, NEW ALBANY, OH, 43054, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649015355 | 2024-06-26 | 2024-09-05 | 5504 PINEBROOK RD STE 102, NOKOMIS, FL, 342753673, US | 5504 PINEBROOK RD STE 102, NOKOMIS, FL, 342753673, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 321-710-0352 |
Authorized person
| Name | AKINYINKA AWOSIKA |
| Role | MEMBER MANAGER |
| Phone | 3217100352 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH REHAN | Agent | 4930 BROOKSVIEW CIRCLE, NEW ALBANY, FL, 43054 |
| Name | Role | Address |
|---|---|---|
| SHAH REHAN | Manager | 5504 PINEBROOK ROAD, NOKOMIS, FL, 34725 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
