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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
RODRIGUEZ DURAN, DALY | Agent | 1672 NE 164TH ST, NORTH MIAMI BEACH, FL 33162 |
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 |
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 |
Name | Date |
---|---|
Florida Limited Liability | 2024-09-18 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State