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  5. MANATEE DIAGNOSTIC CENTER, LTD.

MANATEE DIAGNOSTIC CENTER, LTD.

Company Details

Entity Name: MANATEE DIAGNOSTIC CENTER, LTD.
Jurisdiction: FLORIDA
Filing Type: Domestic Limited Partnership
Status: Inactive
Date Filed: 17 Jul 1985 (40 years ago)
Document Number: A20371
FEI/EIN Number 592587943
Address: 300 RIVERSIDE DRIVE EAST, SUITE 4300, BRADENTON, FL, 34208
Mail Address: 334 W. OLYMPIA AVE., PUNTA GORDA, FL, 33950, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891064721 2011-12-21 2016-01-12 833 N. ROBERT AVENUE, ARCADIA, FL, 34266, US 833 N ROBERT AVENUE, ARCADIA, FL, 34266, US

Contacts
Phone +1 941-747-3034
Fax 9417485819

Authorized person
Name DAVIS W GRAHAM
Role EXECTIVE DIRECTOR/CFO
Phone 9417473034

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
License Number ME6540
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 48245500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANATEE DIAGNOSTIC CENTER, LTD. 2016 592587943 2017-06-28 MANATEE DIAGNOSTIC CENTER, LTD 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing ANGUS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing ANGUS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2015 592587943 2016-05-17 MANATEE DIAGNOSTIC CENTER, LTD 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-17
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2014 592587943 2015-10-06 MANATEE DIAGNOSTIC CENTER, LTD 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2013 592587943 2014-07-03 MANATEE DIAGNOSTIC CENTER, LTD 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2014-07-03
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-03
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2012 592587943 2013-05-31 MANATEE DIAGNOSTIC CENTER, LTD 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-31
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2011 592587943 2012-07-23 MANATEE DIAGNOSTIC CENTER, LTD 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 592587943
Plan administrator’s name MANATEE DIAGNOSTIC CENTER, LTD
Plan administrator’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208
Administrator’s telephone number 9417473034

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2010 592587943 2011-09-08 MANATEE DIAGNOSTIC CENTER, LTD 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 592587943
Plan administrator’s name MANATEE DIAGNOSTIC CENTER, LTD
Plan administrator’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208
Administrator’s telephone number 9417473034

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-08
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
MANATEE DIAGNOSTIC CENTER, LTD. PROFIT SHARING PLAN 2009 592587943 2010-10-01 MANATEE DIAGNOSTIC CENTER, LTD 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 9417473034
Plan sponsor’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 592587943
Plan administrator’s name MANATEE DIAGNOSTIC CENTER, LTD
Plan administrator’s address 300 RIVERSIDE DRIVE E., SUITE 4300, BRADENTON, FL, 34208
Administrator’s telephone number 9417473034

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing DAVIS GRAHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
HARRISON & KIRKLAND, P.A. Agent

General Partner

Name Role Address
MANATEE IMAGING ASSOCS General Partner 300 RIVERSIDE DR, EAST SUITE 4300, BRADENTON, FL

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000021070 MANATEE DIAGNOSTIC CENTER POINTE WEST EXPIRED 2010-03-05 2015-12-31 No data 2301 60TH ST CT W, #C, BRADENTON, FL, 34209
G09000186365 MANATEE DIAGNOSTIC CENTER ARCADIA EXPIRED 2009-12-18 2014-12-31 No data 833 NORTH ROBERT AVENUE, ARCADIA, FL, 34266

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2019-09-27 No data No data
LTD AMENDED AND RESTATED CERTIFICATE 2011-10-04 No data No data
AMENDMENT 2000-03-01 No data No data
REINSTATEMENT 1995-04-27 No data No data
REVOKED FOR ANNUAL REPORT 1995-04-14 No data No data
AMENDMENT 1988-12-09 No data No data
AMENDMENT 1986-10-08 No data No data
AMENDMENT 1986-04-25 No data No data
AMENDED AND RESTATED CERTIFICATE 1985-09-30 No data No data

Related by officers

No related officers

Related by address

300 RIVERSIDE DRIVE EAST, SUITE 4300, BRADENTON, FL, 34208

MANATEE HYPERBARICS, LLC MANATEE MRI CENTER, INC.

334 W. OLYMPIA AVE., PUNTA GORDA, FL, 33950, US

MANATEE IMAGING ASSOCIATES, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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