| Entity Name: | LAKE CLARKE SHORES DIALYSIS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 May 2009 (16 years ago) |
| Document Number: | M09000001954 |
| FEI/EIN Number | 270210884 |
| Address: | 920 WINTER STREET, TAX DEPT, WALTHAM, MA, 02451 |
| Mail Address: | 920 WINTER STREET, TAX DEPT, WALTHAM, MA, 02451 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215269923 | 2010-02-04 | 2023-10-17 | 3047 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065908, US | 3047 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065908, US | |||||||||||||||
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| Phone | +1 561-641-9611 |
| Fax | 5616419612 |
Authorized person
| Name | BARRY L. BLANTON |
| Role | VICE PRESIDENT |
| Phone | 7816999000 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Fresenius Medical Care Ventures, LLC | Auth | 920 WINTER STREET, WALTHAM, MA, 02451 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-15 | 920 WINTER STREET, TAX DEPT, WALTHAM, MA 02451 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-15 | 920 WINTER STREET, TAX DEPT, WALTHAM, MA 02451 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
