| Entity Name: | PORTILLA DIAGNOSTIC GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Mar 2014 (11 years ago) |
| Date of dissolution: | 22 Jul 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Jul 2016 (9 years ago) |
| Document Number: | L14000034898 |
| FEI/EIN Number | 46-4974338 |
| Address: | 330 SW 27TH AVE, STE 302,402, MIAMI, FL, 33135 |
| Mail Address: | 330 SW 27TH AVE, STE 302,402, MIAMI, FL, 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073939369 | 2014-03-11 | 2014-03-13 | 330 SW 27TH AVE STE 302-402, MIAMI, FL, 331352961, US | 330 SW 27TH AVE STE 302-402, MIAMI, FL, 331352961, US | |||||||||||||||
|
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| Phone | +1 305-631-1220 |
| Fax | 3056311251 |
Authorized person
| Name | DR. MARIANELA DE LA PORTILLA |
| Role | MEDICAL DIRECTOR |
| Phone | 3056311220 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANCHEZ MESA NOSLEN | Agent | 330 SW 27TH AVE, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ MESA NOSLEN | Authorized Member | 330 SW 27TH AVE STE 302, MIAMI, FL, 33135 |
| ZAPATA ARENAS GUSTAVO E | Authorized Member | 330 SW 27TH AVE STE 302, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| MONSALVE RUBIO MANUEL | Auth | 330 SW 27TH AVE, MIAMI, FL, 33135 |
| CASTANO PINEDA ELIAS R | Auth | 330 SW 27TH AVE, MIAMI, FL, 33135 |
| DE LA PORTILLA MARIANELA | Auth | 330 SW 27TH AVE, MIAMI, FL, 33135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000112854 | CHOICE 1 DIAGNOSTIC | EXPIRED | 2015-11-05 | 2020-12-31 | No data | 330 SW 27TH AVE, STE 402, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-22 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-22 |
| AMENDED ANNUAL REPORT | 2015-07-25 |
| ANNUAL REPORT | 2015-05-05 |
| Florida Limited Liability | 2014-03-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
