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NATIONAL P.E.T. SCAN PINELLAS, LLC

Company Details

Entity Name: NATIONAL P.E.T. SCAN PINELLAS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Nov 2001 (23 years ago)
Document Number: L01000018923
FEI/EIN Number 010572233
Mail Address: ONE INDEPENDENT DRIVE, SUITE 2201, JACKSONVILLE, FL, 32202
Address: 6600 66TH STREET, PINELLAS PARK, FL, 33781
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932373792 2008-04-14 2008-04-14 1 INDEPENDENT DR, SUITE 2201, JACKSONVILLE, FL, 322025039, US 6600 66TH ST, PINELLAS PARK, FL, 337815032, US

Contacts

Phone +1 904-358-8441
Fax 9043582288
Phone +1 727-471-1000
Fax 7274712197

Authorized person

Name MRS. DIANA L UZZELL
Role PROJECT MANAGER
Phone 9043588441

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number PENDING
State FL
Is Primary Yes

Agent

Name Role Address
GIBBS THOMAS E Agent FOWLER, WHITE, BOGGS, JACKSONVILLE, FL, 32202

Managing Member

Name Role
NATIONAL P.E.T. SCAN MANAGEMENT, LLC Managing Member

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REINSTATEMENT 2002-11-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State