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90 MINUTE DIAGNOSTICS LLC

Company Details

Entity Name: 90 MINUTE DIAGNOSTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 May 2022 (3 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 12 Jun 2023 (2 years ago)
Document Number: L22000223928
FEI/EIN Number 88-2480955
Address: 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407
Mail Address: 6415 LAKE WORTH RD, SUITE 102, GREENACRES, FL 33463
ZIP code: 32407
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285327395 2023-06-02 2023-09-12 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 334633009, US 11903 PANAMA CITY BEACH PKWY # A, PANAMA CITY BEACH, FL, 324072605, US

Contacts

Phone +1 561-331-0808
Fax 5615940880
Phone +1 850-353-0189

Authorized person

Name DR. RAYMOND GUTIERREZ
Role OFFICER
Phone 5613310808

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary No
Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes

Agent

Name Role
THE FARAH LAW FIRM, P.A. Agent

Authorized Member

Name Role Address
NGUYEN, HUY Authorized Member 215 SIGNAL LANE, PORT ST. JOE, FL 32456 UN

Manager

Name Role Address
GUTIERREZ, RAYMOND Manager 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407
WESTENBARGER, RICHARD L Manager 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407
NGUYEN, HUY BAO Manager 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000071128 SYNC DIAGNOSTICS ACTIVE 2023-06-12 2028-12-31 No data 6415 LAKE WORTH RD SUITE 102, GREENACRES, FL, 33463
G23000026954 SYNC DIAGNOSTICS ACTIVE 2023-02-27 2028-12-31 No data 755 GRAND BOULEVARD, SUITE B 105-81, MIRAMAR, FL, 32550

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2023-06-12 90 MINUTE DIAGNOSTICS LLC No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-12 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407 No data
CHANGE OF MAILING ADDRESS 2023-06-09 11903 PANAMA CITY BEACH PKWY A, PANAMA CITY BEACH, FL 32407 No data
LC AMENDMENT AND NAME CHANGE 2022-06-01 90 MINUTE DIAGNOSTICS OF PCB, LLC No data
REGISTERED AGENT NAME CHANGED 2022-06-01 THE FARAH LAW FIRM, P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2022-06-01 6550 ST. AUGUSTINE RD., STE. 103, JACKSONVILLE, FL 32217 No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
LC Amendment and Name Change 2023-06-12
AMENDED ANNUAL REPORT 2023-06-09
ANNUAL REPORT 2023-04-13
LC Amendment and Name Change 2022-06-01
Florida Limited Liability 2022-05-12

Date of last update: 12 Jan 2025

Sources: Florida Department of State