| Entity Name: | SW FLORIDA RADIOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Jun 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000141773 |
| FEI/EIN Number | 82-2064072 |
| Address: | 1244 WALDEN DR, FORT MYERS, FL 33901 |
| Mail Address: | 1244 WALDEN DR, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669997961 | 2017-08-08 | 2022-07-21 | 3949 EVANS AVE STE 301B, FORT MYERS, FL, 339019313, US | 3949 EVANS AVE STE 301B, FORT MYERS, FL, 339019313, US | |||||||||||||||||||
|
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| Phone | +1 239-214-0633 |
| Fax | 2392042063 |
Authorized person
| Name | EDGARDO CASTILLO |
| Role | OWNER |
| Phone | 2397706408 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME106313 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTILLO, EDGARDO | Agent | 1244 WALDEN DR, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| DACOSTA IRVING, WINSTON | Manager | 1244 WALDEN DR, FORT MYERS, FL 33901 |
| CASTILLO, EDGARDO | Manager | 1244 WALDEN DR, FORT MYERS, FL 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-06 |
| Florida Limited Liability | 2017-06-29 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
