| Entity Name: | FORT WALTON OPEN RADIOLOGY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2014 (10 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L14000164396 |
| FEI/EIN Number | 47-2149053 |
| Mail Address: | PO BOX 2207, LAKE CHARLES, LA, 70602-2207, US |
| Address: | 908 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710522602 | 2019-11-14 | 2019-11-14 | PO BOX 242848, MONTGOMERY, AL, 361242848, US | 908 MAR WALT DR, FORT WALTON BEACH, FL, 325476706, US | |||||||||||||||||
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| Phone | +1 334-270-9914 |
| Fax | 3342703195 |
| Phone | +1 850-862-9394 |
Authorized person
| Name | ROSS W BARNETT |
| Role | OWNER |
| Phone | 8508629394 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARNETT ROSS W | Agent | 1519 TROUT LANE, PANAMA CITY, FL, 32408 |
| Name | Role | Address |
|---|---|---|
| BARNETT ROSS W | Manager | 1519 TROUT LANE, PANAMA CITY, FL, 32411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-12-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-13 | BARNETT, ROSS W | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-07 | 908 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-07 | 1519 TROUT LANE, PANAMA CITY, FL 32408 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-12-13 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-07 |
| Florida Limited Liability | 2014-10-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
