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DAVITA MEDICAL FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: DAVITA MEDICAL FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Dec 1986 (38 years ago)
Date of dissolution: 09 Aug 2019 (6 years ago)
Last Event: WITHDRAWAL
Event Date Filed: 09 Aug 2019 (6 years ago)
Document Number: P12317
FEI/EIN Number 870408859

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: JLD/SecGovFin, 2000 16th Street, Denver, CO, 80202, US
Mail Address: 1100 OPTUM CIRCLE, EDEN PRAIRIE, MN, 55344, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508233537 2015-08-25 2017-07-21 10051 5TH STREET N., ST. PETERSBURG, FL, 33702, US 2424 MANATEE AVE W, SUITE 100, BRADENTON, FL, 342054954, US

Contacts
Phone +1 941-847-7920

Authorized person
Name LAUREN EDGINGTON
Role CFO
Phone 7272864065

Taxonomy
Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number ME116650
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
Virnich, M.D. Daniel President JLD/SecGovFin, Denver, CO, 80202
Simpson Tesha Chief Operating Officer JLD/SecGovFin, Denver, CO, 80202
Allen, M.D. Barbara L Chie JLD/SecGovFin, Denver, CO, 80202
Green Jay Chief Financial Officer JLD/SecGovFin, Denver, CO, 80202
Caldwell Samantha A Secretary JLD/SecGovFin, Denver, CO, 80202
Mehta Chetan Grou JLD/SecGovFin, Denver, CO, 80202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000007525 JSA BEST GROUP EXPIRED 2019-01-15 2024-12-31 - 601 HAWAII STREET, EL SEGUNDO, CA, 90245
G18000101658 DAVITA MEDICAL GROUP-NORTH WESTMONTE EXPIRED 2018-09-14 2023-12-31 - 220 N. WESTMONTE DR, SUITE B, ALTAMONTE SPRINGS, FL, 32714
G18000023479 AMERIDRUG EXPIRED 2018-02-14 2023-12-31 - 601 HAWAII STREET, EL SEGUNDO, CA, 90245
G18000023486 AMERIDRUG PHARMACY EXPIRED 2018-02-14 2023-12-31 - 601 HAWAII STREET, ATTN: JLD/SECGOVFIN., EL SEGUNDO, CA, 90245
G17000037360 DAVITA MEDICAL GROUP, PHARMACY EXPIRED 2017-04-07 2022-12-31 - 10051 5TH ST. N., STE. 200, ST. PETERSBURG, FL, 33702
G17000015572 DAVITA PHARMACY EXPIRED 2017-02-10 2022-12-31 - 2000 16TH STREET, ATTN: JLD/SECGOVFIN., DENVER, CO, 80202
G17000015540 DAVITA MEDICAL GROUP FLORIDA EXPIRED 2017-02-10 2022-12-31 - 2000 16TH STREET, ATTN: JLD/SECGOVFIN., DENVER, CO, 80202
G17000015541 DAVITA MEDICAL GROUP EXPIRED 2017-02-10 2022-12-31 - 2000 16TH STREET, ATTN: JLD/SECGOVFIN., DENVER, CO, 80202
G17000015543 DAVITA MEDICAL FLORIDA EXPIRED 2017-02-10 2022-12-31 - 2000 16TH STREET, ATTN: JLD/SECGOVFIN., DENVER, CO, 80202
G17000015545 DAVITA PHARMACY FLORIDA EXPIRED 2017-02-10 2022-12-31 - 2000 16TH STREET, ATTN: JLD/SECGOVFIN., DENVER, CO, 80202

Events

Event Type Filed Date Value Description
WITHDRAWAL 2019-08-09 - -
CHANGE OF MAILING ADDRESS 2019-08-09 JLD/SecGovFin, 2000 16th Street, Denver, CO 80202 -
REGISTERED AGENT CHANGED 2019-08-09 REGISTERED AGENT REVOKED -
CHANGE OF PRINCIPAL ADDRESS 2018-03-26 JLD/SecGovFin, 2000 16th Street, Denver, CO 80202 -
NAME CHANGE AMENDMENT 2017-01-06 DAVITA MEDICAL FLORIDA, INC. -
NAME CHANGE AMENDMENT 1990-08-23 JSA HEALTHCARE CORPORATION -

Documents

Name Date
Withdrawal 2019-08-09
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-19
Name Change 2017-01-06
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28
ANNUAL REPORT 2014-04-26
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-04-06

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Companies related by address

JLD/SecGovFin, 2000 16th Street, Denver, CO, 80202, US

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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