| Entity Name: | UNIVERSAL KIDNEY CENTER OF DAVIE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Jul 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Oct 2009 (15 years ago) |
| Document Number: | P02000074863 |
| FEI/EIN Number | 13-4203276 |
| Address: | 11570 WEST STATE ROAD 84, DAVIE, FL 33325 |
| Mail Address: | KAREN SAMRA, 11570 WEST STATE ROAD 84, DAVIE, FL 33325 |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982700415 | 2006-09-15 | 2020-08-22 | 11570 W STATE ROAD 84, DAVIE, FL, 333254022, US | 11570 W STATE ROAD 84, DAVIE, FL, 333254022, US | |||||||||||||||
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| Phone | +1 954-727-9100 |
| Fax | 9547279880 |
Authorized person
| Name | MR. ELMO ANGELO V. BARTOLOME |
| Role | C.F.O/C.O.O |
| Phone | 9547706540 |
Taxonomy
| Taxonomy Code | 163WD1100X - Peritoneal Dialysis Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMRA, KAMELJIT | Agent | 11570 WEST STATE ROAD 84, DAVIE, FL 33315 |
| Name | Role | Address |
|---|---|---|
| BARTOLOME, DELILAH | Director | 4875 NORTHEAST 20TH TERRACE, FT LAUDERDALE, FL 33308 |
| BARTOLOME, ELMO | Director | 4875 NORTHEAST 20TH TERRACE, FT LAUDERDALE, FL 33308 |
| SAMRA, KAMELJIT | Director | 4100 GALT OCEAN DRIVE #914, FORT LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-18 | 11570 WEST STATE ROAD 84, DAVIE, FL 33325 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-18 | 11570 WEST STATE ROAD 84, DAVIE, FL 33325 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-18 | SAMRA, KAMELJIT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-18 | 11570 WEST STATE ROAD 84, DAVIE, FL 33315 | No data |
| AMENDMENT | 2009-10-19 | No data | No data |
| AMENDMENT | 2002-12-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
