| Entity Name: | BREAST CENTER OF NAPLES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2020 (4 years ago) |
| Document Number: | L20000302490 |
| FEI/EIN Number | 85-3343877 |
| Address: | 3555 KRAFT ROAD, SUITE 350, NAPLES, FL, 34105, US |
| Mail Address: | 3555 KRAFT ROAD, SUITE 350, NAPLES, FL, 34105, US |
| ZIP code: | 34105 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932705613 | 2020-12-08 | 2021-12-09 | 3555 KRAFT RD STE 350, NAPLES, FL, 341055037, US | 3555 KRAFT RD STE 350, NAPLES, FL, 341055037, US | |||||||||||||||||||
|
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| Phone | +1 239-238-1210 |
Authorized person
| Name | KRYSTAL SWARTS SMITH |
| Role | OWNER |
| Phone | 6014664930 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE |
| Number | OS17230 |
| State | FL |
| Name | Role |
|---|---|
| INGRAM & COMPANY, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DR. KRYSTAL SWARTS SMITH | Manager | 3555 KRAFT ROAD, SUITE 350, NAPLES, FL, 34105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-07-27 | INGRAM & COMPANY, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-27 | 1000 Tamiami Trail N, #503, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-28 |
| AMENDED ANNUAL REPORT | 2022-07-27 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-15 |
| Florida Limited Liability | 2020-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
