| Entity Name: | RISGIMM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jul 2016 (9 years ago) |
| Document Number: | L16000133177 |
| FEI/EIN Number | 81-3322738 |
| Mail Address: | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL 33801 |
| Address: | 206 WEST ALEXANDER STREET, SUITE 1, PLANT CITY, FL 33563 |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659821585 | 2016-10-04 | 2016-10-04 | 2125 CRYSTAL GROVE DR, LAKELAND, FL, 338016875, US | 206 W ALEXANDER ST STE 1, PLANT CITY, FL, 335637100, US | |||||||||||||||
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| Phone | +1 863-577-0303 |
| Fax | 8635770301 |
Authorized person
| Name | MR. EDWARD JOSEPH GOODEMOTE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8635770303 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HENRICKS, BRET D | Agent | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| HENRICKS, BRET D | Manager | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL 33801 |
| ERICKSON, CARL | Manager | 34441 PARKVIEW AVE, EUSTIS, FL 32736 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000096787 | PLANT CITY MRI | ACTIVE | 2016-09-07 | 2026-12-31 | No data | 2125 CRYSTAL GROVE DR, LAKELAND, FL, 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 2115 CRYSTAL GROVE DRIVE, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-04 | 206 WEST ALEXANDER STREET, SUITE 1, PLANT CITY, FL 33563 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-22 | HENRICKS, BRET D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-04-18 |
| Florida Limited Liability | 2016-07-14 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
