| Entity Name: | SOUTHERN CARDIAC NUCLEAR IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Dec 2003 (21 years ago) |
| Date of dissolution: | 24 Mar 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Mar 2014 (11 years ago) |
| Document Number: | L03000049116 |
| FEI/EIN Number | 680574041 |
| Address: | 1512 SW 115th Street, GAINESVILLE, FL, 32607, US |
| Mail Address: | 1512 SW 115th Street, GAINESVILLE, FL, 32607, US |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982686366 | 2005-11-19 | 2011-01-10 | PO BOX 144333, ORLANDO, FL, 328144333, US | 6484 FORT CAROLINE RD, JACKSONVILLE, FL, 322772042, US | |||||||||||||||||||||||
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| Phone | +1 407-422-9831 |
| Fax | 4076482065 |
| Phone | +1 352-332-5755 |
| Fax | 8668879246 |
Authorized person
| Name | FLOYD W. BURKE |
| Role | PRESIDENT |
| Phone | 3523328991 |
Taxonomy
| Taxonomy Code | 207UN0901X - Nuclear Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | P00224933 |
| Name | Role | Address |
|---|---|---|
| JOSE I. MORENO PA | Agent | 240 NW 76TH DRIVE, GAINESVILLE, FL, 32607 |
| Name | Role |
|---|---|
| SOUTHERN CARDIAC IMAGING, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-24 | 1512 SW 115th Street, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-24 | 1512 SW 115th Street, GAINESVILLE, FL 32607 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-06 | JOSE I. MORENO PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-06 | 240 NW 76TH DRIVE, SUITE D, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-24 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-03-07 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-01-06 |
| ANNUAL REPORT | 2005-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
