Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33316
    5. ›
  5. BROWARD KIDNEY CONSULTANTS, INC.

BROWARD KIDNEY CONSULTANTS, INC.

Company Details

Entity Name: BROWARD KIDNEY CONSULTANTS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Jan 1996 (29 years ago)
Date of dissolution: 05 Apr 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 05 Apr 2021 (4 years ago)
Document Number: P96000002813
FEI/EIN Number 65-0635537
Address: 315 SE 13 ST, FORT LAUDERDALE, FL 33316
Mail Address: 315 SE 13 ST, FORT LAUDERDALE, FL 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720002363 2006-07-27 2016-11-15 315 SE 13TH ST, FORT LAUDERDALE, FL, 333161923, US 315 SE 13TH ST, FORT LAUDERDALE, FL, 333161923, US

Contacts
Phone +1 954-767-5900
Fax 9547676070

Authorized person
Name DR. ROBERT CUELI
Role PRESIDENT
Phone 9547675900

Taxonomy
Taxonomy Code 207RN0300X - Nephrology Physician
License Number ME116060
State FL
Is Primary Yes
Taxonomy Code 207RN0300X - Nephrology Physician
License Number OS12532
State FL
Is Primary No
Taxonomy Code 207RN0300X - Nephrology Physician
License Number ME60254
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROWARD KIDNEY CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN 2021 650635537 2022-09-19 BROWARD KIDNEY CONSULTANTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. CASH BALANCE PLAN 2021 650635537 2022-10-02 BROWARD KIDNEY CONSULTANTS, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2022-10-02
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN 2021 650635537 2022-09-19 BROWARD KIDNEY CONSULTANTS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. CASH BALANCE PLAN 2020 650635537 2021-10-04 BROWARD KIDNEY CONSULTANTS, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN 2020 650635537 2021-10-11 BROWARD KIDNEY CONSULTANTS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. CASH BALANCE PLAN 2019 650635537 2020-09-29 BROWARD KIDNEY CONSULTANTS, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN 2019 650635537 2020-09-29 BROWARD KIDNEY CONSULTANTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
ROBERT CUELI, M.D., P.A. DEFINED BENEFIT PLAN 2018 650635537 2019-02-19 BROWARD KIDNEY CONSULTANTS, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2019-02-19
Name of individual signing ROBERT CUELI
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. 401(K) PROFIT SHARING PLAN 2018 650635537 2019-10-07 BROWARD KIDNEY CONSULTANTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature
BROWARD KIDNEY CONSULTANTS, INC. CASH BALANCE PLAN 2018 650635537 2019-10-01 BROWARD KIDNEY CONSULTANTS, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9547675900
Plan sponsor’s address 315 SE 13TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing MARJAN VANDEVAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BROWARD KIDNEY CONSULTANTS, INC. Agent

Dr.

Name Role Address
VANDEVAR, MARJAN Dr. 315 SE 13 ST, FORT LAUDERDALE, FL 33316

DR.

Name Role Address
CHOKSHI, RUCHIR DR. 315 SE 13 ST, FORT LAUDERDALE, FL 33316

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-04-05 No data No data
REGISTERED AGENT NAME CHANGED 2018-01-17 Broward Kidney Consultants No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-17 315 SE 13 ST, FORT LAUDERDALE, FL 33316 No data
NAME CHANGE AMENDMENT 2015-08-17 BROWARD KIDNEY CONSULTANTS, INC. No data
CHANGE OF MAILING ADDRESS 2012-08-28 315 SE 13 ST, FORT LAUDERDALE, FL 33316 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-07 315 SE 13 ST, FORT LAUDERDALE, FL 33316 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-04-05
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-26
Name Change 2015-08-17
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-03-02
ANNUAL REPORT 2013-04-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6299217304 2020-04-30 0455 PPP 315 13TH ST, FORT LAUDERDALE, FL, 33316
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125237
Loan Approval Amount (current) 125237
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address FORT LAUDERDALE, BROWARD, FL, 33316-0001
Project Congressional District FL-23
Number of Employees 6
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 67422
Originating Lender Name First Horizon Bank
Originating Lender Address MEMPHIS, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 126701.58
Forgiveness Paid Date 2021-07-13

Related by officers

VANDEVAR, MARJAN

COMPREHENSIVE KIDNEY CARE, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated