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FORT MYERS KIDNEY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: FORT MYERS KIDNEY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Feb 2013 (12 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 May 2022 (3 years ago)
Document Number: M13000000697
FEI/EIN Number 46-1708675

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 500 Cummings Center, Beverly, MA, 01915, US
Mail Address: 14181 S. Tamiami Trail, Fort Myers, FL, 33912, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
Gulati Ankush Manager 500 Cummings Center, Beverly, MA, 01915
AMERICAN RENAL ASSOCIATES LLC Member -
FORT MYERS DIALYSIS INVESTORS, LLC Member -
Kamal Syed T. Manager 500 Cummings Center, Beverly, MA, 01915
Mendez Nick Manager 1550 W McEwen Dr, Franklin, TN, 37067
Sagliocca MD Gennaro Member 500 Cummings Center, Beverly, MA, 01915

National Provider Identifier

NPI Number:
1093154916
Certification Date:
2023-01-11

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:
2394151063

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000030792 FORT MYERS KIDNEY CARE CENTER ACTIVE 2013-03-29 2028-12-31 - 500 CUMMINGS CENTER,, SUITE 6550, BEVERLY, MA, 01915

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-21 500 Cummings Center, Suite 6550, Beverly, MA 01915 -
CHANGE OF MAILING ADDRESS 2023-02-21 500 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 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-02-21
CORLCRACHG 2022-05-17
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-18

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Date of last update: 02 Jun 2025

Sources: Florida Department of State