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DR DIALYSIS LLC

Company Details

Entity Name: DR DIALYSIS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Sep 2024 (4 months ago)
Document Number: L24000407946
FEI/EIN Number 99-5075507
Address: 1680 NE 164 ST, NORTH MIAMI BEACH, FL 33162
Mail Address: 1680 NE 164 ST, NORTH MIAMI BEACH, FL 33162
ZIP code: 33162
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790507879 2024-10-29 2024-11-01 1680 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624017, US 1680 NE 164TH ST, NORTH MIAMI BEACH, FL, 331624017, US

Contacts

Phone +1 305-749-6774
Fax 3057496869

Authorized person

Name DALY RODRIGUEZ DURAN
Role OWNER/ADMINISTRATOR
Phone 7864453311

Taxonomy

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

Agent

Name Role Address
RODRIGUEZ DURAN, DALY Agent 1672 NE 164TH ST, NORTH MIAMI BEACH, FL 33162

Manager

Name Role Address
RODRIGUEZ DURAN, DALY Manager 1672 NE 164TH ST, NORTH MIAMI BEACH, FL 33162
HERNANDEZ, RICARDO M Manager 1672 NE 164TH ST, NORTH MIAMI BEACH, FL 33162

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-17 1680 NE 164 ST, NORTH MIAMI BEACH, FL 33162 No data
CHANGE OF MAILING ADDRESS 2024-10-17 1680 NE 164 ST, NORTH MIAMI BEACH, FL 33162 No data

Documents

Name Date
Florida Limited Liability 2024-09-18

Date of last update: 06 Jan 2025

Sources: Florida Department of State