| Entity Name: | PALM BEACH FLUOROSCOPY SERVICES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Nov 2003 (21 years ago) |
| Document Number: | L03000048275 |
| FEI/EIN Number | 81-0638184 |
| Address: | 1005 W. INDIANTOWN ROAD, SUITE 101, JUPITER, FL 33458 |
| Mail Address: | 1005 W. Indiantown Road, Suite 101, Jupiter, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417137639 | 2007-11-05 | 2007-11-05 | 1471 CADES BAY AVE, JUPITER, FL, 334585301, US | 1 ORTHOPAEDIC PL, SUITE 200, ST AUGUSTINE, FL, 320864202, US | |||||||||||||||||||
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| Phone | +1 561-630-6277 |
| Fax | 5616306062 |
Authorized person
| Name | MS. DONNA SCROGGINS |
| Role | COO |
| Phone | 5616306277 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC6899 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCROGGINS, STACY H | Agent | 1005 W. INDIANTOWN ROAD, SUITE 101, JUPITER, FL 33458 |
| Name | Role | Address |
|---|---|---|
| SCROGGINS, H. STACY | Managing Member | 1005 W. INDIANTOWN ROAD, SUITE 101 JUPITER, FL 33458 |
| SCROGGINS, DONNA | Managing Member | 1005 W. INDIANTOWN ROAD, SUITE 101 JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 1005 W. INDIANTOWN ROAD, SUITE 101, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-22 | 1005 W. INDIANTOWN ROAD, SUITE 101, JUPITER, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-22 | 1005 W. INDIANTOWN ROAD, SUITE 101, JUPITER, FL 33458 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-02-06 | SCROGGINS, STACY H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
