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SOUTHERN RADIOLOGY SPECIALISTS OF DESTIN PLLC

Company Details

Entity Name: SOUTHERN RADIOLOGY SPECIALISTS OF DESTIN PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 24 Apr 2013 (12 years ago)
Date of dissolution: 02 May 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 May 2013 (12 years ago)
Document Number: L13000060021
Address: 12598 EMERALD COAST PARKWAY, SUITE 102, DESTIN, FL 32550
Mail Address: 12598 EMERALD COAST PARKWAY, SUITE 102, DESTIN, FL 32550
ZIP code: 32550
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295170520 2013-04-30 2013-04-30 2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL, 361177790, US 585 MACK BAYOU RD, SANTA ROSA BEACH, FL, 324593111, US

Contacts

Phone +1 334-270-9914
Phone +1 850-267-5667

Authorized person

Name DR. ROSS BARNETT
Role OWNER
Phone 8502675667

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role Address
BARNETT, ROSS W Agent 12598 EMERALD COAST PARKWAY, SUITE 102, DESTIN, FL 32550

Manager

Name Role Address
BARNETT, ROSS W Manager 12598 EMERALD COAST PARKWAY SUITE 102, DESTIN, FL 32550

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-05-02 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2013-05-02
Florida Limited Liability 2013-04-24

Date of last update: 22 Jan 2025

Sources: Florida Department of State