Detail by Officer/Registered Agent Name
Florida Profit Corporation
PENSACOLA NEPHROLOGY, P.A.
Filing Information
P99000053863
59-3580766
06/11/1999
FL
ACTIVE
NAME CHANGE AMENDMENT
08/26/1999
NONE
Principal Address
Changed: 02/28/2012
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Changed: 02/28/2012
Mailing Address
Changed: 02/28/2012
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Changed: 02/28/2012
Registered Agent Name & Address
Dansby, Justin
Name Changed: 03/13/2024
Address Changed: 02/28/2012
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Name Changed: 03/13/2024
Address Changed: 02/28/2012
Officer/Director Detail
Name & Address
Title President
HUMEDA, HUMAM, M.D
Title VP, Treasurer
FRIEDLAND, EDWARD L, M.D.
Title Secretary
WILES, RONNIE D, M.D.
Title Director
REID, CHRISTOPHER, M.D.
Title Director
NAGRANI, NICHOLAS, M.D.
Title Director
JIMENEZ, DEREK, M.D.
Title Director
QADER, HAITHAM O, M.D.
Title Director
Bunting, Douglas, Dr.
Title Director
Vannorsdall, Mark, Dr.
Title President
HUMEDA, HUMAM, M.D
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title VP, Treasurer
FRIEDLAND, EDWARD L, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Secretary
WILES, RONNIE D, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
REID, CHRISTOPHER, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
NAGRANI, NICHOLAS, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
JIMENEZ, DEREK, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
QADER, HAITHAM O, M.D.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
Bunting, Douglas, Dr.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Title Director
Vannorsdall, Mark, Dr.
1619 CREIGHTON ROAD
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Annual Reports
Report Year | Filed Date |
2022 | 03/29/2022 |
2023 | 03/07/2023 |
2024 | 03/13/2024 |
Document Images