| Entity Name: | SAPPHIRE BRANDON, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Inactive |
| Date Filed: | 23 Jul 2001 (24 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | A01000000995 |
| FEI/EIN Number | 593729773 |
| Address: | 615 VONDERBURG DRIVE, SUITE B, BRANDON, FL, 33511 |
| Mail Address: | 615 VONDERBURG DRIVE, Suite B, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922085208 | 2005-12-28 | 2011-09-16 | 615 VONDERBURG DR, BRANDON, FL, 335115972, US | 615 VONDERBURG DR, BRANDON, FL, 335115972, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-205-0312 |
| Fax | 8136576130 |
| Phone | +1 813-657-5579 |
| Fax | 8136756130 |
Authorized person
| Name | JEFFREY STONE |
| Role | PRESIDENT AND CEO |
| Phone | 8132050312 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC4890 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 030708400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STONE JEFFREY | Agent | 615 VONDERBURG DRIVE, BRANDON, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000030112 | BRANDON OPEN MRI | EXPIRED | 2011-03-24 | 2016-12-31 | No data | 14025 RIVEREDGE DRIVE, SUITE 550, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-15 | 615 VONDERBURG DRIVE, SUITE B, BRANDON, FL 33511 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-14 | 615 VONDERBURG DRIVE, SUITE B, BRANDON, FL 33511 | No data |
| LP AMENDMENT | 2011-10-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-10-11 | 615 VONDERBURG DRIVE, SUITE B, BRANDON, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-10-11 | STONE, JEFFREY | No data |
| LP AMENDMENT | 2008-08-07 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-08 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-15 |
| ANNUAL REPORT | 2012-01-05 |
| LP Amendment | 2011-10-17 |
| Reg. Agent Change | 2011-10-11 |
| ANNUAL REPORT | 2011-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
