| Entity Name: | INTERVENTIONAL RADIOLOGY OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2018 (6 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 22 Aug 2018 (6 years ago) |
| Document Number: | L18000201093 |
| FEI/EIN Number | 47-2615759 |
| Address: | 14500 sw 18th ct, DAVIE, FL, 33325, US |
| Mail Address: | 14500 sw 18th ct, DAVIE, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851785711 | 2015-03-27 | 2015-04-08 | 4581 WESTON RD, SUITE 282, WESTON, FL, 333313141, US | 1475 W 49TH ST, RADIOLOGY DEPARTMENT, HIALEAH, FL, 330123222, US | |||||||||||||||||
|
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| Phone | +1 954-534-1099 |
Authorized person
| Name | JODY STUCKY |
| Role | PARTNER |
| Phone | 7865082936 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| swischuk peter | Agent | 14500 sw 18th ct, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| swischuk peter | President | 14500 sw 18th ct, DAVIE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-05 | 14500 sw 18th ct, DAVIE, FL 33325 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-05 | 14500 sw 18th ct, DAVIE, FL 33325 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-05 | swischuk, peter | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-05 | 14500 sw 18th ct, DAVIE, FL 33325 | No data |
| CONVERSION | 2018-08-22 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1500000104 ORIGINALLY FILED ON 02/13/2015. CONVERSION NUMBER 300000184843 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-22 |
| Florida Limited Liability | 2018-08-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
