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SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH CENTRAL FLORIDA DIALYSIS PARTNERS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 17 Apr 2007 (18 years ago)
Document Number: M07000002203
FEI/EIN Number 208930468
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

Role
Agent
Manager
Member

Commercial and government entity program

CAGE number:
88KX7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-13
CAGE Expiration:
2030-06-13
SAM Expiration:
2026-06-11

Contact Information

POC:
RYAN SPECK

Immediate Level Owner

Vendor Certified:
2025-06-13
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1326630823
Certification Date:
2024-12-02

Authorized Person:

Name:
SAMUEL WEY
Role:
VP LICENSURE & CERTIFICATION
Phone:

Taxonomy:

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

Contacts:

Fax:
4075692708

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000041307 OSCEOLA LOOP DIALYSIS ACTIVE 2020-04-14 2025-12-31 - 3052A DYER BOULEVARD, KISSIMMEE, FL, 34741
G20000002103 AUBURNDALE DIALYSIS ACTIVE 2020-01-06 2025-12-31 - 250 AVENUE K SW, SUITE 100, WINTER HAVEN, FL, 33880
G19000073181 TRAFALGAR DIALYSIS ACTIVE 2019-07-02 2029-12-31 - 2500 TRAFALGAR BLVD., ATTN: JLD/SECGOVFIN., KISSIMMEE, FL, 34758
G18000042475 METROWEST DIALYSIS ACTIVE 2018-04-02 2028-12-31 - 4578 S KIRKMAN RD, ATTN: JLD/SECGOVFIN., ORLANDO, FL, 32811
G16000131077 ORLANDO AIRPORT DIALYSIS ACTIVE 2016-12-06 2026-12-31 - 5778 S SEMORAN BLVD, A. ATTN: JLD/SECGOVFIN., ORLANDO, FL, 32822
G15000112652 ST CLOUD DIALYSIS EXPIRED 2015-11-04 2020-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G15000112654 WINTER GARDEN DIALYSIS ACTIVE 2015-11-04 2025-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G15000112655 ORLANDO PARK DIALYSIS ACTIVE 2015-11-04 2025-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN, EL SEGUNDO, CA, 90245
G15000100407 HUNTERS CREEK DIALYSIS EXPIRED 2015-09-30 2020-12-31 - 601 HAWAII STREET, EL SEGUNDO, CA, 90245
G15000099285 CELEBRATION DIALYSIS EXPIRED 2015-09-28 2020-12-31 - 601 HAWAII STREET, EL SEGUNDO, CA, 90245

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -
CHANGE OF MAILING ADDRESS 2023-04-14 2000 16th Street, JLD/SecGovFin, Denver, CO 80202 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28

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Date of last update: 02 Aug 2025

Sources: Florida Department of State