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PERITONEAL DIALYSIS CENTER INC

Company Details

Entity Name: PERITONEAL DIALYSIS CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Apr 2016 (9 years ago)
Document Number: P16000032381
FEI/EIN Number 81-2215546
Address: 50 EAST SAMPLE ROAD, 301 A, POMPANO BEACH, FL 33064
Mail Address: 50 EAST SAMPLE ROAD, 301 A, POMPANO BEACH, FL 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194170852 2016-05-02 2023-02-03 4302 ALTON RD, SUITE 400, MIAMI BEACH, FL, 331402891, US 4302 ALTON RD, SUITE 400, MIAMI BEACH, FL, 331402891, US

Contacts

Phone +1 786-216-7023
Fax 7862167067

Authorized person

Name BETTY JEAN VERBAL
Role ADMIN.
Phone 7862167023

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
NSync Consuting Corp Agent 100 East Sample Road, # 220, Pompano Beach, FL 33064

Vice President

Name Role Address
ADAN, LETICIA Vice President 4302 ALTON ROAD, #400 MIAMI BEACH, FL 33140

President

Name Role
N'SYNC CONSULTING CORP President

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000116250 MIAMI BEACH ELITE DIALYSIS ACTIVE 2024-09-17 2029-12-31 No data 50 E SAMPLE ROAD, SUITE 301, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-09-27 50 EAST SAMPLE ROAD, 301 A, POMPANO BEACH, FL 33064 No data
CHANGE OF MAILING ADDRESS 2022-09-27 50 EAST SAMPLE ROAD, 301 A, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT NAME CHANGED 2020-06-11 NSync Consuting Corp No data
REGISTERED AGENT ADDRESS CHANGED 2019-09-30 100 East Sample Road, # 220, Pompano Beach, FL 33064 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-11
AMENDED ANNUAL REPORT 2019-09-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-04-25
Domestic Profit 2016-04-08

Date of last update: 20 Jan 2025

Sources: Florida Department of State