| Entity Name: | DESTIN REGIONAL IMAGING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2002 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Jul 2019 (6 years ago) |
| Document Number: | L02000030617 |
| FEI/EIN Number | 562303936 |
| Address: | 7800 US HWY 98 W, MIRAMAR BEACH, FL, 32550, US |
| Mail Address: | 7800 U.S.Hwy 98 W., RADIOLOGY DEPT, MIRAMAR BEACH, FL, 32550, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538807656 | 2022-05-27 | 2022-05-27 | PO BOX 1977, INDIANAPOLIS, IN, 462061977, US | 75 ORIGINS MAIN ST STE 201, WATERSOUND, FL, 324618647, US | |||||||||||||||||||
|
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| Phone | +1 855-410-3201 |
| Phone | +1 850-278-3556 |
Authorized person
| Name | CHUN CHEN |
| Role | VICE PRESIDENT |
| Phone | 8502783556 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC OF FLORIDA |
| Number | 00871 |
| Name | Role | Address |
|---|---|---|
| Chen Chun Dr. | Agent | 7800 US HWY 98 W, MIRAMAR BEACH, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| Chen Chun Dr. | Manager | 7800 US HWY 98 W, MIRAMAR BEACH, FL, 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-04 | Chen, Chun, Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-04 | 7800 US HWY 98 W, MIRAMAR BEACH, FL 32550 | No data |
| REINSTATEMENT | 2019-07-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-28 | 7800 US HWY 98 W, MIRAMAR BEACH, FL 32550 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-28 | 7800 US HWY 98 W, MIRAMAR BEACH, FL 32550 | No data |
| REINSTATEMENT | 2010-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2003-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-01-14 |
| REINSTATEMENT | 2019-07-10 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
