| Entity Name: | NEW LIFE DIALYSIS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | P23000082939 |
| FEI/EIN Number | 93-4668257 |
| Address: | 2720 SW 97TH AVE UNIT 201, MIAMI, FL 33165 |
| Mail Address: | 2720 SW 97TH AVE UNIT 201, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396594602 | 2024-05-17 | 2024-06-03 | 2720 SW 97TH AVE SUITE 201, MIAMI, FL, 331652680, US | 2720 SW 97TH AVE SUITE 201, MIAMI, FL, 331652680, US | |||||||||||||||
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| Phone | +1 786-963-9155 |
| Fax | 7869639181 |
Authorized person
| Name | DEVORATH FONSECA |
| Role | PRESIDENT |
| Phone | 7869639155 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FONSERA, DEVORATH | Agent | 2720 SW 97TH AVE UNIT 201, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| FONSECA, DEVORATH | President | 2720 SW 97TH AVE UNIT 201, MIAMI, FL 33165 |
| Name | Date |
|---|---|
| Domestic Profit | 2023-12-04 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
