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IMAGING & VASCULAR CONSULTANTS, PLLC

Company Details

Entity Name: IMAGING & VASCULAR CONSULTANTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Jul 2016 (8 years ago)
Document Number: L16000139244
FEI/EIN Number 81-3669447
Address: 415 S. WICKHAM ROAD, WEST MELBOURNE, FL 32904
Mail Address: 415 S. WICKHAM ROAD, WEST MELBOURNE, FL 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366998171 2016-08-31 2016-08-31 415 S WICKHAM RD, MELBOURNE, FL, 329041137, US 415 S WICKHAM RD, MELBOURNE, FL, 329041137, US

Contacts

Phone +1 321-400-1220

Authorized person

Name ROBERT KENNEDY
Role MBR
Phone 3214001220

Taxonomy

Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
Is Primary Yes

Agent

Name Role Address
DUNFEE, BRIAN Agent 415 S. WICKHAM RD, WEST MELBOURCE, FL 32904

Authorized Member

Name Role Address
KENNEDY, ROBERT Authorized Member 415 S. WICKHAM ROAD, WEST MELBOURNE, FL 32904
DUNFEE, BRIAN Authorized Member 415 S. WICKHAM ROAD, WEST MELBOURNE, FL 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-01-15 DUNFEE, BRIAN No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-15 415 S. WICKHAM RD, WEST MELBOURCE, FL 32904 No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-08-06
ANNUAL REPORT 2017-04-26
Florida Limited Liability 2016-07-25

Date of last update: 19 Jan 2025

Sources: Florida Department of State