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  5. PENSACOLA NEPHROLOGY, P.A.

PENSACOLA NEPHROLOGY, P.A.

Company Details

Entity Name: PENSACOLA NEPHROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jun 1999 (26 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 26 Aug 1999 (25 years ago)
Document Number: P99000053863
FEI/EIN Number 593580766
Address: 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504, US
Mail Address: 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504, US
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2015 593580766 2016-07-29 PENSACOLA NEPHROLOGY, P.A. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2014 593580766 2015-07-23 PENSACOLA NEPHROLOGY, P.A. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2013 593580766 2014-10-15 PENSACOLA NEPHROLOGY, P.A. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2012 593580766 2013-07-16 PENSACOLA NEPHROLOGY, P.A. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2011 593580766 2012-07-26 PENSACOLA NEPHROLOGY, P.A. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Plan administrator’s name and address
Administrator’s EIN 593580766
Plan administrator’s name PENSACOLA NEPHROLOGY, P.A.
Plan administrator’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504
Administrator’s telephone number 8504444700

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2010 593580766 2011-10-07 PENSACOLA NEPHROLOGY, P.A. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Plan administrator’s name and address
Administrator’s EIN 593580766
Plan administrator’s name PENSACOLA NEPHROLOGY, P.A.
Plan administrator’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504
Administrator’s telephone number 8504444700

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2010 593580766 2011-10-05 PENSACOLA NEPHROLOGY, P.A. 62
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Plan administrator’s name and address
Administrator’s EIN 593580766
Plan administrator’s name PENSACOLA NEPHROLOGY, P.A.
Plan administrator’s address 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504
Administrator’s telephone number 8504444700

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-05
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
PENSACOLA NEPHROLOGY 401(K) RETIREMENT PLAN 2009 593580766 2010-10-15 PENSACOLA NEPHROLOGY, P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 8504444700
Plan sponsor’s address 1717 NORTH E STREET, SUITE 403, PENSACOLA, FL, 32501

Plan administrator’s name and address
Administrator’s EIN 593580766
Plan administrator’s name PENSACOLA NEPHROLOGY, P.A.
Plan administrator’s address 1717 NORTH E STREET, SUITE 403, PENSACOLA, FL, 32501
Administrator’s telephone number 8504444700

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing EDWARD L. FRIEDLAND, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Dansby Justin Agent 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

President

Name Role Address
HUMEDA HUMAM M.D President 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Vice President

Name Role Address
FRIEDLAND EDWARD LM.D. Vice President 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Secretary

Name Role Address
WILES RONNIE DM.D. Secretary 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Director

Name Role Address
REID CHRISTOPHER M.D Director 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504
NAGRANI NICHOLAS M.D. Director 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504
JIMENEZ DEREK M.D. Director 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000115052 RENALUS CENTER FOR KIDNEY CARE ACTIVE 2023-09-18 2028-12-31 No data 1619 CREIGHTON RD, SUITE 1, PENSACOLA, FL, 32504
G12000117153 RENALUS CENTER FOR KIDNEY CARE EXPIRED 2012-12-06 2017-12-31 No data 1619 CREIGHTON ROAD, PENSACOLA, FL, 32504

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-13 Dansby, Justin No data
CHANGE OF PRINCIPAL ADDRESS 2012-02-28 1619 CREIGHTON ROAD, PENSACOLA, FL 32504 No data
CHANGE OF MAILING ADDRESS 2012-02-28 1619 CREIGHTON ROAD, PENSACOLA, FL 32504 No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-28 1619 CREIGHTON ROAD, PENSACOLA, FL 32504 No data
NAME CHANGE AMENDMENT 1999-08-26 PENSACOLA NEPHROLOGY, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-02-07
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-01-26

Related by officers

No related officers

Related by address

1619 CREIGHTON ROAD, PENSACOLA, FL, 32504, US

SALT AND WATER CLUB, LLC PENSACOLA TRANSPLANT NEPHROLOGY, LLC SALT AND WATER CLUB III, LLC

1619 CREIGHTON ROAD, PENSACOLA, FL, 32504, US

SALT AND WATER CLUB, LLC PENSACOLA TRANSPLANT NEPHROLOGY, LLC SALT AND WATER CLUB III, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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