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  5. NAPLES NEPHROLOGY, P.A.

NAPLES NEPHROLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: NAPLES NEPHROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NAPLES NEPHROLOGY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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 Nov 2001 (23 years ago)
Document Number: P01000108887
FEI/EIN Number 522356545

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 878 109TH AVE N, 2, NAPLES, FL, 34108
Mail Address: 878 109TH AVE N, 2, NAPLES, FL, 34108
ZIP code: 34108
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235254699 2007-03-21 2008-05-19 878 109TH AVE N, NAPLES, FL, 341081821, US 878 109TH AVE N, NAPLES, FL, 341081821, US

Contacts
Phone +1 239-513-1002
Fax 2395131915

Authorized person
Name MARK STEVEN RUSSO
Role PRESIDENT
Phone 2395131002

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME83306
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 263246200
State FL
Issuer BLUE CROSS BLUE SHIELD
Number 39198
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2023 522356545 2024-02-01 NAPLES NEPHROLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2024-02-01
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2022 522356545 2023-03-15 NAPLES NEPHROLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2023-03-15
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2021 522356545 2022-03-31 NAPLES NEPHROLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2022-03-31
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2020 522356545 2021-02-05 NAPLES NEPHROLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2021-02-05
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-05
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2019 522356545 2020-02-24 NAPLES NEPHROLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2020-02-24
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2018 522356545 2019-04-16 NAPLES NEPHROLOGY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2019-04-16
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-16
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2017 522356545 2018-04-03 NAPLES NEPHROLOGY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2018-04-03
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-03
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2016 522356545 2017-02-20 NAPLES NEPHROLOGY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2017-02-20
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-20
Name of individual signing MARK RUSSO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2015 522356545 2016-04-21 NAPLES NEPHROLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2016-04-21
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-21
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
NAPLES NEPHROLOGY, P.A. RETIREMENT PLAN 2014 522356545 2015-03-12 NAPLES NEPHROLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2395131002
Plan sponsor’s address 878 109TH AVE N, NAPLES, FL, 341081821

Signature of
Role Plan administrator
Date 2015-03-12
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-12
Name of individual signing LAUREEN MARINO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RUSSO MARK S President 878 109TH AVE N #2, NAPLES, FL, 34108
RUSSO MARK S Agent 878 109TH AVE N, NAPLES, FL, 34108

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-01-22 878 109TH AVE N, 2, NAPLES, FL 34108 -
CHANGE OF MAILING ADDRESS 2009-01-22 878 109TH AVE N, 2, NAPLES, FL 34108 -
REGISTERED AGENT ADDRESS CHANGED 2006-02-15 878 109TH AVE N, NAPLES, FL 34108 -
REGISTERED AGENT NAME CHANGED 2002-07-22 RUSSO, MARK S -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-03-16
ANNUAL REPORT 2015-02-23

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Companies related by address

No other companies in our directory share the same address as NAPLES NEPHROLOGY, P.A.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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