| Entity Name: | GULF COAST RADIOLOGY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Jan 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L13000005449 |
| FEI/EIN Number | 46-1813867 |
| Address: | 11268 Bienvenida Way, Fort Myers, FL, 33908, US |
| Mail Address: | 11268 Bienvenida Way, Fort Myers, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154662146 | 2013-03-15 | 2013-03-26 | 13731 METROPOLIS AVE, FORT MYERS, FL, 339127150, US | 13731 METROPOLIS AVE, FORT MYERS, FL, 339127150, US | |||||||||||||||||||||||
|
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| Phone | +1 239-333-2484 |
Authorized person
| Name | CHAIM JAY MARGOLIN |
| Role | OWNER |
| Phone | 2393332484 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME62306 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME62306 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARGOLIN FRANCINE N | Agent | 11268 Bienvenida way, FT. MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| MARGOLIN CHAIM J | Manager | 11268 Bienvenida Way, FT. MYERS, FL, 33908 |
| Margolin Francine N | Manager | 11268 Bienvenida Way, Fort Myers, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 11268 Bienvenida Way, Unit 202, Fort Myers, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 11268 Bienvenida Way, Unit 202, Fort Myers, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 11268 Bienvenida way, Unit 202, FT. MYERS, FL 33908 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-07 | MARGOLIN, FRANCINE N | No data |
| REINSTATEMENT | 2018-02-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-03-31 |
| REINSTATEMENT | 2018-02-07 |
| ANNUAL REPORT | 2014-04-20 |
| Florida Limited Liability | 2013-01-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
