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RADIOLOGY PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC

Company Details

Entity Name: RADIOLOGY PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Aug 2016 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 31 May 2017 (8 years ago)
Document Number: L16000161812
FEI/EIN Number 81-3719631
Address: 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215
Mail Address: 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447761101 2017-10-20 2021-07-09 5565 CENTERVIEW DR STE 107, RALEIGH, NC, 276063563, US 2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084402, US

Contacts

Fax 9548511746
Phone +1 800-437-2672

Authorized person

Name KATHLEEN KONDAS
Role OFFICER
Phone 8773281119

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
Laverty, John Manager 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215
Cuffee, Michael S. Manager 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215

Chief Operating Officer

Name Role Address
BAXTER, MD, BRIAN Chief Operating Officer 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215

MANAGER

Name Role Address
Brady MD, Tricia MANAGER 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215
Page, Robert MANAGER 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215
PAVON, RICARDO MANAGER 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215
McCreesh, Glenn MANAGER 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 No data
CHANGE OF MAILING ADDRESS 2024-04-19 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 No data
LC STMNT OF RA/RO CHG 2017-05-31 No data No data
REGISTERED AGENT NAME CHANGED 2017-05-31 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2017-05-31 1201 HAYS ST, TALLAHASSEE, FL 32301 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000279875 TERMINATED 1000000822661 COLUMBIA 2019-04-10 2029-04-17 $ 340.38 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J18000803130 TERMINATED 1000000805508 COLUMBIA 2018-12-06 2028-12-12 $ 495.25 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-24
AMENDED ANNUAL REPORT 2017-10-30
CORLCRACHG 2017-05-31
ANNUAL REPORT 2017-04-26

Date of last update: 19 Jan 2025

Sources: Florida Department of State