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KIDNEY CENTER OF TRADITION, LLC - Florida Company Profile

Company Details

Entity Name: KIDNEY CENTER OF TRADITION, 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: 13 Jul 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 May 2022 (3 years ago)
Document Number: M16000005619
FEI/EIN Number 81-3120829

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

Address: 1631 SW Gatlin Boulevard, Port St. Lucie, FL, 34953, US
Mail Address: 1631 SW Gatlin Boulevard, Port St. Lucie, FL, 34953, US
ZIP code: 34953
County: St. Lucie
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184141350 2017-08-28 2022-08-18 1631 SW GATLIN BLVD, SUITE 100, PORT ST LUCIE, FL, 349534103, US 1631 SW GATLIN BLVD, SUITE 100, PORT ST LUCIE, FL, 349534103, US

Contacts

Phone +1 772-343-7425
Fax 7723437687

Authorized person

Name KEISHA DENISE GREENE
Role VP OF CLINICAL & REGULATORY
Phone 9785223905

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Kamal Syed T Manager 1631 SW Gatlin Boulevard, Port St. Lucie, FL, 34953
Flores Maria T Manager 1631 SW Gatlin Boulevard, Port St. Lucie, FL, 34953
Mendez Nick Manager 1631 SW Gatlin Boulevard, Port St. Lucie, FL, 34953
AMERICAN RENAL ASSOCIATES LLC Member -
TRADITION KIDNEY CARE, LLC Member -
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000130146 GATLIN KIDNEY CARE ACTIVE 2018-12-10 2028-12-31 - 1631 SW GATLIN BOULEVARD, PORT ST. LUCIE, FL, 34953
G16000115618 TRADITION KIDNEY CENTER ACTIVE 2016-10-25 2026-12-31 - 500 CUMMINGS CENTER, STE 6550, BEVERLY, MA, 01915

Events

Event Type Filed Date Value Description
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 -
CHANGE OF PRINCIPAL ADDRESS 2021-04-17 1631 SW Gatlin Boulevard, Port St. Lucie, FL 34953 -
CHANGE OF MAILING ADDRESS 2021-04-17 1631 SW Gatlin Boulevard, Port St. Lucie, FL 34953 -

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-29
CORLCRACHG 2022-05-17
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-17
Foreign Limited 2016-07-13

Date of last update: 03 Apr 2025

Sources: Florida Department of State