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FORT WALTON DIAGNOSTIC IMAGING CENTER, L.L.C. - Florida Company Profile

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Company Details

Entity Name: FORT WALTON DIAGNOSTIC IMAGING CENTER, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Feb 2001 (24 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 years ago)
Document Number: L01000001819
FEI/EIN Number 651074896
Address: 1112 HOSPITAL RD, STE C, FORT WALTON BEACH, FL, 32547
Mail Address: 1112 HOSPITAL RD, STE C, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCMICHAEL GARY W Managing Member 323 PAGE BACON RD #17, MARY ESTHER, FL, 32569
ZACHOS KALLIOPE Managing Member 4154 BEACH DR, NICEVILLE, FL, 32578
MCMICHAEL GARY Agent 1112 HOSPITAL RD, FORT WALTON BEACH, FL, 32547

National Provider Identifier

NPI Number:
1619920642

Authorized Person:

Name:
GARY MCMICHAEL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
No

Contacts:

Fax:
8508620900

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2008-05-01 1112 HOSPITAL RD, STE C, FORT WALTON BEACH, FL 32547 -
CHANGE OF MAILING ADDRESS 2008-05-01 1112 HOSPITAL RD, STE C, FORT WALTON BEACH, FL 32547 -
REGISTERED AGENT NAME CHANGED 2004-04-28 MCMICHAEL, GARY -
REGISTERED AGENT ADDRESS CHANGED 2002-04-17 1112 HOSPITAL RD, SUITE C, FORT WALTON BEACH, FL 32547 -

Documents

Name Date
ANNUAL REPORT 2009-05-01
ANNUAL REPORT 2008-05-01
ANNUAL REPORT 2007-05-09
ANNUAL REPORT 2006-05-01
ANNUAL REPORT 2005-04-18
ANNUAL REPORT 2004-04-28
ANNUAL REPORT 2003-05-05
ANNUAL REPORT 2002-04-17
Florida Limited Liabilites 2001-02-02

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Date of last update: 03 Jul 2025

Sources: Florida Department of State