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WESTON DIALYSIS CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: WESTON DIALYSIS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 20 Jan 2004 (22 years ago)
Document Number: M04000000257
FEI/EIN Number 820574862
Address: 2000 16th Street, JLD/SECGOVFIN, Denver, CO, 80202, US
Mail Address: 601 Hawaii Street, JLD/SECGOVFIN, El Segundo, CA, 90245, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Caldwell Samantha A Auth 2000 16th Street, Denver, CO, 80202
- Agent -
- Manager -
Cleveland Clinic Florida Member 2000 16th Street, Denver, CO, 80202

Commercial and government entity program

CAGE number:
5XDW5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-05
CAGE Expiration:
2030-06-05
SAM Expiration:
2026-06-02

Contact Information

POC:
RYAN SPECK

Immediate Level Owner

Vendor Certified:
2025-06-04
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1699743930
Certification Date:
2020-12-02

Authorized Person:

Name:
JOHN D WINSTEL
Role:
CHIEF ACCOUNTING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
8002935872
Fax:
9543848207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04124700103 WESTON DIALYSIS CENTER ACTIVE 2004-05-03 2029-12-31 - 2685 EXECUTIVE PARK DR, SUITE 1, WESTON, FL, 33331

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-18 2000 16th Street, JLD/SECGOVFIN, Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2024-04-18 2000 16th Street, JLD/SECGOVFIN, Denver, CO 80202 -
REGISTERED AGENT NAME CHANGED 2005-08-22 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2005-08-22 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28

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Date of last update: 03 Aug 2025

Sources: Florida Department of State