| Entity Name: | FRESENIUS MEDICAL CARE MIAMI SHORES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Nov 2015 (9 years ago) |
| Document Number: | M15000008832 |
| FEI/EIN Number | 47-5473310 |
| Address: | 920 Winter Street, Waltham, MA 02451 |
| Mail Address: | 920 Winter Street, Waltham, MA 02451 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912372293 | 2015-12-11 | 2023-10-19 | 11440 NW 7TH AVE, MIAMI, FL, 331682208, US | 11440 NW 7TH AVE, MIAMI, FL, 331682208, US | |||||||||||||||||||||
|
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| Phone | +1 786-621-4888 |
| Fax | 7866214889 |
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 |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019149400 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mello, Bryan | Asst. Treasurer | 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 |
|---|---|---|---|---|---|---|
| G20000027427 | FRESENIUS MEDICAL CARE MIAMI SHORES | ACTIVE | 2020-03-04 | 2025-12-31 | No data | 920 WINTER ST, WALTHAM, MA, 02451 |
| G20000022392 | FRESENIUS KIDNEY CARE MIAMI SHORES | ACTIVE | 2020-02-20 | 2025-12-31 | No data | 11440 NW 7TH AVE, MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-05 | 920 Winter Street, Waltham, MA 02451 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-05 | 920 Winter Street, Waltham, MA 02451 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-16 |
| Foreign Limited | 2015-11-03 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
