| Entity Name: | FRESENIUS VASCULAR CARE PENSACOLA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2014 (11 years ago) |
| Document Number: | M14000005071 |
| FEI/EIN Number | 471341140 |
| 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144990003 | 2021-09-14 | 2021-09-14 | PO BOX 419076, BOSTON, MA, 022419076, US | 151 E REDSTONE AVE, CRESTVIEW, FL, 325395352, US | |||||||||||||||||
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| Phone | +1 610-644-8900 |
| Fax | 4849240053 |
| Phone | +1 850-689-8100 |
Authorized person
| Name | GREGG ARTHUR MILLER |
| Role | SR. VICE PRESIDENT |
| Phone | 6106448900 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| FRESENIUS VASCULAR CARE, INC. | Auth | 920 WINTER STREET, WALTHAM, MA, 02451 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000077101 | AZURA VASCULAR CARE RENALUS FORT WALTON | EXPIRED | 2019-07-17 | 2024-12-31 | No data | 920 WINTER STREET, WALTHAM, MA, 02451 |
| G19000040559 | AZURA VASCULAR CARE RENALUS PENSACOLA | EXPIRED | 2019-03-29 | 2024-12-31 | No data | 920 WINTER ST, WALTHAM, MA, 02451 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-29 |
| 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 | 2015-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
