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PALMETTO DIALYSIS CENTER LLC - Florida Company Profile

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Company Details

Entity Name: PALMETTO DIALYSIS CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 21 Aug 2007 (18 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 May 2022 (3 years ago)
Document Number: M07000005129
FEI/EIN Number 26-0722021
Address: 500 Cummings Center, Suite 6550, Beverly, MA, 01915, US
Mail Address: 3820 US 301 N, Ellenton, FL, 34222, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
- Agent -
Bala Jennifer CM.D. Member 500 Cummings Center, Beverly, MA, 01915
Kamal Syed T Manager 500 Cummings Center, Beverly, MA, 01915
Palomino Celestino M.D. Manager 500 Cummings Center, Beverly, MA, 01915
Mendez Nick M.D. Manager 1550 W. MCEWEN DR.,, FRANKLIN, TN, 37067
- Member -

National Provider Identifier

NPI Number:
1386836815
Certification Date:
2023-01-10

Authorized Person:

Name:
SARA ANNE BRADY
Role:
CHIEF NURSING OFFICER
Phone:

Taxonomy:

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

Contacts:

Fax:
9417223766

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000008057 PLANTATION DIALYSIS C/O AMERICAN RENAL ASSOCIATES ACTIVE 2016-01-22 2026-12-31 - 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA, 01915

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-02-20 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
LC STMNT OF RA/RO CHG 2022-05-17 - -
REGISTERED AGENT NAME CHANGED 2022-05-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-05-17 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
CHANGE OF PRINCIPAL ADDRESS 2021-04-17 500 Cummings Center, Suite 6550, Beverly, MA 01915 -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-20
CORLCRACHG 2022-05-17
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-18

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Date of last update: 03 Jul 2025

Sources: Florida Department of State