Entity Name: | BISCAYNE DIAGNOSTIC IMAGING, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 20 Oct 2004 (20 years ago) |
Date of dissolution: | 15 Sep 2006 (18 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 15 Sep 2006 (18 years ago) |
Document Number: | L04000076285 |
FEI/EIN Number | 20-1789396 |
Address: | 21110 BISCAYNE BLVD., 102, AVENTURA, FL 33180 |
Mail Address: | 21110 BISCAYNE BLVD., 102, AVENTURA, FL 33180 |
ZIP code: | 33180 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1508063637 | 2007-07-02 | 2020-08-22 | 2625 EXECUTIVE PARK DR, SUITE 1, WESTON, FL, 333313634, US | 2625 EXECUTIVE PARK DR, SUITE 1, WESTON, FL, 333313634, US | |||||||||||||||||||
|
Phone | +1 954-217-7674 |
Fax | 9542177675 |
Authorized person
Name | MR. ROBERT J MILLER |
Role | OWNER |
Phone | 9542177674 |
Taxonomy
Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
License Number | HCC4697 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COEL, MARK A | Agent | ONE LINCOLN PLACE, 1900 GLADES ROAD,SUITE 350, BOCA RATON, FL 33431-0000 |
Name | Role | Address |
---|---|---|
EFFENSON, KATHLEEN | Manager | 2500 NORTH MILITARY TRAIL, BOCA RATON, FL 33431 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2005-09-16 | ONE LINCOLN PLACE, 1900 GLADES ROAD,SUITE 350, BOCA RATON, FL 33431-0000 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-08-24 | 21110 BISCAYNE BLVD., 102, AVENTURA, FL 33180 | No data |
CHANGE OF MAILING ADDRESS | 2005-08-24 | 21110 BISCAYNE BLVD., 102, AVENTURA, FL 33180 | No data |
Name | Date |
---|---|
Reg. Agent Resignation | 2008-02-06 |
ANNUAL REPORT | 2005-08-24 |
Florida Limited Liabilites | 2004-10-20 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State