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DOCTORS RADIOLOGY GROUP OF GAINESVILLE, LLC - Florida Company Profile

Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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 -

Documents

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