| Entity Name: | COCONUT CREEK DIALYSIS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Oct 2009 (15 years ago) |
| Document Number: | M09000004244 |
| FEI/EIN Number | 271602532 |
| Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Mail Address: | 920 Winter Street, Waltham, MA, 02451, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336560465 | 2013-12-16 | 2023-10-17 | 3508 N UNIVERSITY DR STE 300A, SUNRISE, FL, 333516724, US | 3508 N UNIVERSITY DR STE 300A, SUNRISE, FL, 333516724, US | |||||||||||||||
|
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| Phone | +1 954-748-2251 |
| Fax | 9547487868 |
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 |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mello Bryan | Assi | 920 Winter Street, Waltham, MA, 02451 |
| Name | Role |
|---|---|
| BIO-MEDICAL APPLICATIONS OF FLORIDA, INC. | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000125048 | NW BROWARD ARTIFICIAL KIDNEY CENTER | ACTIVE | 2024-10-08 | 2029-12-31 | No data | 2514 N STATE ROAD 7, MARGATE, FL, 33063 |
| G14000024860 | SOUTH FLORIDA HOME THERAPIES | EXPIRED | 2014-03-11 | 2019-12-31 | No data | C/O FRESENIUS MEDICAL CARE, 920 WINTER ST, WALTHAM, FL, 02451 |
| G10000059951 | N.W. BROWARD ARTIFICIAL KIDNEY CENTER | EXPIRED | 2010-06-29 | 2015-12-31 | No data | 2514 N. STATE ROAD 7, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 920 Winter Street, Waltham, MA 02451 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-09 | 920 Winter Street, Waltham, MA 02451 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
