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MAMMOGRAPHY PARTNERS, LLC

Company Details

Entity Name: MAMMOGRAPHY PARTNERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 May 2020 (5 years ago)
Document Number: L20000140251
FEI/EIN Number 851263739
Address: 521 Costa Del Sol Drive, Saint Augustine, FL, 32095, US
Mail Address: 521 Costa Del Sol Drive, Saint Augustine, FL, 32095, US
ZIP code: 32095
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851909360 2020-07-21 2022-12-01 PO BOX 96416, CHARLOTTE, NC, 282960416, US 7860 GATE PARKWAY, PARKING LOT, JACKSONVILLE, FL, 322563225, US

Contacts

Phone +1 904-807-5272
Fax 9043898699

Authorized person

Name JOSHUA A HAMMOND
Role MANAGING PARTNER
Phone 8433843512

Taxonomy

Taxonomy Code 261QR0207X - Mobile Mammography Clinic/Center
Is Primary Yes

Agent

Name Role Address
Skiles Randy Agent 1461 Harrington Park Drive, Jacksonville, FL, 32225

Auth

Name Role Address
Skiles Randy Auth 1461 Harrington Park Drive, Jacksonville, FL, 32225

Director

Name Role Address
Hammond Joshua Director 521 Costa Del Sol Drive, Saint Augustine, FL, 32095

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000114026 MAVEN MAMMOGRAPHY ACTIVE 2020-09-02 2025-12-31 No data 521 COSTA DEL SOL, ST AUGUSTINE FLORIDA, FL, 32095

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-10-31 521 Costa Del Sol Drive, Saint Augustine, FL 32095 No data
CHANGE OF MAILING ADDRESS 2022-10-31 521 Costa Del Sol Drive, Saint Augustine, FL 32095 No data
REGISTERED AGENT NAME CHANGED 2022-01-10 Skiles, Randy No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-10 1461 Harrington Park Drive, Jacksonville, FL 32225 No data

Documents

Name Date
ANNUAL REPORT 2024-01-20
ANNUAL REPORT 2023-02-16
AMENDED ANNUAL REPORT 2022-10-31
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-14
Florida Limited Liability 2020-05-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State