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INTERVENTIONAL RADIOLOGY CONSULTANTS, LLC

Company Details

Entity Name: INTERVENTIONAL RADIOLOGY CONSULTANTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Apr 2010 (15 years ago)
Document Number: L10000039577
FEI/EIN Number 272313181
Address: 1118 Gulf Breeze Pkwy, Medical Office Bldg, Gulf Breeze, FL, 32561, US
Mail Address: PO BOX 17549, PENSACOLA, FL, 32522
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043538655 2010-05-06 2010-05-06 1717 N E ST, SUITE 423, PENSACOLA, FL, 325016339, US 1717 N E ST, SUITE 423, PENSACOLA, FL, 325016339, US

Contacts

Phone +1 850-432-6851
Fax 8504386821

Authorized person

Name DR. AMIT GIRISH GUPTA
Role VICE-PRESIDENT
Phone 8504326851

Taxonomy

Taxonomy Code 2471V0106X - Vascular-Interventional Technology Radiologic Technologist
Is Primary Yes

Agent

Name Role Address
Gupta Amit GDr. Agent 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Managing Member

Name Role Address
RADIOLOGY ASSOCIATES OF PENSACOLA, PA Managing Member 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Secretary

Name Role Address
Rivera Edwin Dr. Secretary 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Vice President

Name Role Address
Lusane Henry Dr. Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561
Murphy Ryan P Vice President 1118 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-14 1118 Gulf Breeze Pkwy, Medical Office Bldg, Ste 202, Gulf Breeze, FL 32561 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-14 1118 Gulf Breeze Pkwy, Medical Office Bldg, Ste 202, Gulf Breeze, FL 32561 No data
REGISTERED AGENT NAME CHANGED 2016-01-25 Gupta, Amit G, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-24

Date of last update: 02 Jan 2025

Sources: Florida Department of State