| Entity Name: | DOCTORS RADIOLOGY GROUP OF GAINESVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DOCTORS RADIOLOGY GROUP OF GAINESVILLE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Dec 2005 (19 years ago) |
| Document Number: | L05000119039 |
| FEI/EIN Number |
203972695
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605, US |
| Mail Address: | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194775783 | 2006-05-12 | 2024-07-12 | 6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL, 326054215, US | 6716 NW 11TH PL STE 200, GAINESVILLE, FL, 326054201, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-331-9729 |
| Fax | 3523310136 |
Authorized person
| Name | DR. DAN E WARE |
| Role | PRESIDENT |
| Phone | 3523319729 |
Taxonomy
| Taxonomy Code | 2085N0904X - Nuclear Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RAIL ROAD MEDICARE |
| Number | DE7978 |
| State | FL |
| Issuer | BCBSFL |
| Number | 99680 |
| State | FL |
| Issuer | AVMED |
| Number | 239216 |
| State | FL |
| Issuer | MEDICAID |
| Number | 056871600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIM JONG H | Auth | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| WILLIAMS WILLIE F | Auth | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| WARE DAN E | Auth | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| ACOSTA ANDRES R | Auth | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| KIM JONG H | Agent | 6685 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-24 | 6685 NW 9TH BLVD, GAINESVILLE, FL 32605 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-24 | 6685 NW 9TH BLVD, GAINESVILLE, FL 32605 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-24 | 6685 NW 9TH BLVD, GAINESVILLE, FL 32605 | - |
| REGISTERED AGENT NAME CHANGED | 2009-02-17 | KIM, JONG H | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
