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RADIOLOGY ASSOCIATES OF PENSACOLA, P.A.

Company Details

Entity Name: RADIOLOGY ASSOCIATES OF PENSACOLA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Dec 1969 (55 years ago)
Document Number: 601789
FEI/EIN Number 591293424
Address: 1118 Gulf Breeze Pkwy, Medical Office Bldg, Gulf Breeze, FL, 32561, US
Mail Address: P.O. BOX 17549, PENSACOLA, FL, 32522-7549, US
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RADIOLOGY ASSOCIATES OF PENSACOLA, PA EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2012 591293424 2013-07-29 RADIOLOGY ASSOCIATES OF PENSACOLA, P.A. 15
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Three-digit plan number (PN) 002
Effective date of plan 1970-07-01
Business code 621111
Sponsor’s telephone number 8504326851
Plan sponsor’s address 1717 NORTH E STREET, SUITE 300, PENSACOLA, FL, 325016333

Signature of

Role Plan administrator
Date 2013-07-29
Name of individual signing JOHN J. BAEHR, III
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Gupta Amit GDr. Agent 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Treasurer

Name Role Address
RIVERA EDWIN Dr. Treasurer 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

President

Name Role Address
GUPTA AMIT GDR. President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Vice President

Name Role Address
MUTZ ERIC FDr. Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561
DORVAULT CHRISTOPHER JDr. Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561
LUSANE, JR. HENRY CDr. Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561
NOYES DANIEL Dr. Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000065149 ACUMEN MEDICAL IMAGING + INTERVENTIONAL ACTIVE 2016-07-01 2026-12-31 No data 1717 N E STREET, SUITE 300, PENSACOLA, FL, 32501

Events

Event Type Filed Date Value Description
AMENDMENT 2010-02-03 No data No data
NAME CHANGE AMENDMENT 1996-11-19 RADIOLOGY ASSOCIATES OF PENSACOLA, P.A. No data
AMENDMENT 1994-07-15 No data No data
NAME CHANGE AMENDMENT 1987-07-01 COVELL, COOPER, BENDER, BAEHR, KING & SOWERS, P.A. No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State