| Entity Name: | BON IMAGE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BON IMAGE 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Jan 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L12000002997 |
| FEI/EIN Number |
454283124
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 18705 Pepper Pike, Lutz, FL, 33558, US |
| Mail Address: | 18705 Pepper Pike, Lutz, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457622557 | 2012-01-20 | 2014-05-05 | 15439 CORTEZ BLVD, BROOKSVILLE, FL, 346136113, US | 15439 CORTEZ BLVD, BROOKSVILLE, FL, 346136113, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-593-4194 |
| Fax | 3525935828 |
Authorized person
| Name | DR. NARENDRA S SASTRY |
| Role | MANAGER |
| Phone | 8137860322 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME63006 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 371150100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 064781100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 006434900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SASTRY NARENDRA | Managing Member | 18705 Pepper Pike, Lutz, FL, 33558 |
| SASTRY NARENDRA | Agent | 18705 Pepper Pike, Lutz, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000022504 | BON IMAGE | EXPIRED | 2012-03-05 | 2017-12-31 | - | 5466 S. SUNCOAST BLVD, HOMOSASSA, FL, 34446 |
| G12000022511 | BON IMAGE VEIN AND LASER CENTER | EXPIRED | 2012-03-05 | 2017-12-31 | - | 5466 S. SUNCOAST BLVD, HOMOSASSA, FL, 34446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-19 | 18705 Pepper Pike, Lutz, FL 33558 | - |
| CHANGE OF MAILING ADDRESS | 2015-01-19 | 18705 Pepper Pike, Lutz, FL 33558 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-19 | 18705 Pepper Pike, Lutz, FL 33558 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-04-01 |
| Florida Limited Liability | 2012-01-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
