| Entity Name: | KIDNEY SPECIALTY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Apr 2007 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 20 Dec 2007 (17 years ago) |
| Document Number: | P07000043450 |
| FEI/EIN Number | 208811277 |
| Address: | 219 NW 12TH AVE, C5, MIAMI, FL, 33128 |
| Mail Address: | 219 NW 12 Ave, C5, MIAMI, FL, 33128, US |
| ZIP code: | 33128 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417612243 | 2021-11-06 | 2021-11-06 | 219 NW 12TH AVE STE C-5, MIAMI, FL, 331282205, US | 4302 ALTON RD STE 760, MIAMI BEACH, FL, 331402893, US | |||||||||||||||
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| Phone | +1 305-548-4063 |
| Fax | 3055451515 |
Authorized person
| Name | JORGE GARCIA |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3056060337 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CUELLAR JUAN M | Agent | 219 NW 12 Ave, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| CUELLAR JUAN M | Director | 219 NW 12 Ave, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| CUELLAR JUAN M | President | 219 NW 12 Ave, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| CUELLAR JUAN M | Secretary | 219 NW 12 Ave, MIAMI, FL, 33128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-01-24 | 219 NW 12TH AVE, C5, MIAMI, FL 33128 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-24 | 219 NW 12 Ave, C5, MIAMI, FL 33128 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-12 | 219 NW 12TH AVE, C5, MIAMI, FL 33128 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-30 | CUELLAR, JUAN M | No data |
| NAME CHANGE AMENDMENT | 2007-12-20 | KIDNEY SPECIALTY CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
