| Entity Name: | KIDNEY CENTER OF WESLEY CHAPEL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2019 (6 years ago) |
| Document Number: | M19000000696 |
| FEI/EIN Number | 83-1372780 |
| Address: | 500 CUMMINGS CENTER, BEVERLY, MA, 01915, US |
| Mail Address: | 27800 Summergate Boulevard, Wesley Chapel, FL, 33544, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710529789 | 2019-10-11 | 2023-01-10 | 27806 SUMMERGATE BLVD, WESLEY CHAPEL, FL, 335446919, US | 27806 SUMMERGATE BLVD, WESLEY CHAPEL, FL, 335446919, US | |||||||||||||||
|
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| Phone | +1 813-991-6419 |
| Fax | 8139917141 |
Authorized person
| Name | SARA ANNE BRADY |
| Role | CHIEF NURSING OFFICER |
| Phone | 2083717878 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FKP DIALYSIS VENTURES, LLC | Member |
| Name | Role | Address |
|---|---|---|
| Jain Pranjal M.D. | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Baliga Rajendra M.D. | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Mendez Nick | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Attmore George | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Kamal Syed | Manager | 500 CUMMINGS CENTER, BEVERLY, MA, 01915 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-20 | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA 01915 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-20 | 500 CUMMINGS CENTER, SUITE 6550, BEVERLY, MA 01915 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-17 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-20 |
| Reg. Agent Change | 2022-05-17 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-04 |
| Foreign Limited | 2019-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
