| Entity Name: | FLORIDA RADIOLOGY SPECIALISTS, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 May 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L09000049196 |
| FEI/EIN Number | 270221248 |
| Address: | 2580 NW EVENTIDE PLACE, STUART, FL, 34994, US |
| Mail Address: | PO BOX 2399, STUART, FL, 34995-2399 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114250453 | 2009-09-17 | 2011-07-12 | 200 KNUTH RD, STE 200, BOYNTON BEACH, FL, 334364693, US | 3301 EVENTIDE PL, STUART, FL, 349949143, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 561-736-1200 |
| Fax | 5617421919 |
Authorized person
| Name | JOSEPH T CHARLES |
| Role | PARTNER |
| Phone | 5617361200 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0026694-00 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DQ7718 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 001LK |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CONNOLLY ROBIN JDr. | Agent | 2580 NW EVENTIDE PLACE, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| CONNOLLY ROBIN JDr. | Manager | 2580 NW EVENTIDE PLACE, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-06 | CONNOLLY, ROBIN J., Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-06 | 2580 NW EVENTIDE PLACE, STUART, FL 34994 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-22 | 2580 NW EVENTIDE PLACE, STUART, FL 34994 | No data |
| LC AMENDMENT | 2009-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-10 |
| AMENDED ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-03-06 |
| ANNUAL REPORT | 2012-01-30 |
| ANNUAL REPORT | 2011-05-06 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-11 |
| LC Amendment | 2009-09-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
