| Entity Name: | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Nov 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Nov 2024 (3 months ago) |
| Document Number: | L14000178356 |
| FEI/EIN Number | 47-2368695 |
| Address: | 3660 BROADWAY, FORT MYERS, FL 33901 |
| Mail Address: | 3660 BROADWAY, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619365772 | 2014-12-24 | 2020-06-18 | 3660 BROADWAY, FORT MYERS, FL, 339018005, US | 13681 DOCTORS WAY, FORT MYERS, FL, 339124300, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 239-936-2316 |
| Phone | +1 239-343-1000 |
Authorized person
| Name | BRIAN A KRIVISKY |
| Role | PRESIDENT |
| Phone | 2399316376 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Knific, Randolph | President | 3660 BROADWAY, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Pagliara, Richard | Secretary | 3660 BROADWAY, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Bobman, Stuart | Treasurer | 3660 BROADWAY, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Bell, Terri | Director of Finance | 3660 BROADWAY, FORT MYERS, FL 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-19 | 3660 BROADWAY, FORT MYERS, FL 33901 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-19 | 3660 BROADWAY, FORT MYERS, FL 33901 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-19 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-19 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-05 | knific, randolph | No data |
| REINSTATEMENT | 2024-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-12-19 |
| REINSTATEMENT | 2024-11-05 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-02-23 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
