| Entity Name: | PREMIER RADIOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 May 2020 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000122612 |
| Address: | 571 RANGER LN, LONGBOAT KEY, FL, 34228, US |
| Mail Address: | 571 RANGER LN, LONGBOAT KEY, FL, 34228, US |
| ZIP code: | 34228 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376592402 | 2006-05-08 | 2022-07-21 | PO BOX 660, CLEARWATER, FL, 337570660, US | 1106 DRUID RD S, SUITE 302, CLEARWATER, FL, 337563846, US | |||||||||||||||||||||
|
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| Phone | +1 727-441-3711 |
Authorized person
| Name | DR. DANIEL KROP |
| Role | PRESIDENT |
| Phone | 7274413711 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP NUMBER |
| Number | 94995 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIZARRO JOSE | Agent | 571 RANGER LN, LONGBOAT KEY, FL, 34228 |
| Name | Role | Address |
|---|---|---|
| PIZARRO JOSE A | Manager | 571 RANGER LN, LONGBOAT KEY, FL, 34228 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
