| Entity Name: | DIALYSIS AND KIDNEY CENTER OF NORTH BREVARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DIALYSIS AND KIDNEY CENTER OF NORTH BREVARD, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Sep 1992 (33 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Nov 2019 (5 years ago) |
| Document Number: | V66227 |
| FEI/EIN Number |
593155506
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 951 N Washington Avenue, TITUSVILLE, FL, 32796, US |
| Mail Address: | 951 N Washington Avenue, TITUSVILLE, FL, 32796, US |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346358538 | 2006-08-28 | 2010-06-03 | PO BOX 1067, MIMS, FL, 327541067, US | 830 CENTURY MEDICAL DR, SUITE C, TITUSVILLE, FL, 327962149, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 321-269-6270 |
| Fax | 3213831625 |
Authorized person
| Name | JEANETTE P DEE |
| Role | ADMINISTRATOR |
| Phone | 3212696270 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| License Number | 05 0904 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 0899219 |
| State | FL |
| Issuer | BLUE SHIELD |
| Number | V4G |
| State | FL |
| Issuer | MEDICAID |
| Number | 210743100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NORTH BREVARD MEDICAL SUPPORT, INC. | Agent | - |
| MCALPINE CHRISTOPHER | Secretary | 951 North Washingotn Avenue, TITUSVILLE, FL, 32796 |
| MCALPINE CHRISTOPHER | Vice President | 951 North Washingotn Avenue, TITUSVILLE, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-25 | 951 North Washington Avenue, TITUSVILLE, FL 32796 | - |
| REINSTATEMENT | 2019-11-25 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-11-19 | 951 N Washington Avenue, TITUSVILLE, FL 32796 | - |
| REINSTATEMENT | 2018-11-19 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-19 | 951 N Washington Avenue, TITUSVILLE, FL 32796 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-08-07 | NORTH BREVARD MEDICAL SUPPORT, INC. | - |
| REINSTATEMENT | 2014-05-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J02000312268 | TERMINATED | 0000485731 | 04633 02403 | 2002-07-10 | 2007-08-06 | $ 2,303.52 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE ROAD, COCOA, FL329225710 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-16 |
| REINSTATEMENT | 2019-11-25 |
| REINSTATEMENT | 2018-11-19 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-01-13 |
| AMENDED ANNUAL REPORT | 2014-08-07 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
