| Entity Name: | WEST FLORIDA RADIOLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WEST FLORIDA RADIOLOGY ASSOCIATES, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 Jan 1990 (35 years ago) |
| Document Number: | L46627 |
| FEI/EIN Number |
592985048
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 6478 HIGHWAY 90, SUITE D, MILTON, FL, 32570 |
| Address: | 6002 BERRYHILL RD, MILTON, FL, 32570 |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | WEST FLORIDA RADIOLOGY ASSOCIATES, P.A., COLORADO | 20181653142 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396724654 | 2006-01-13 | 2015-02-09 | 6478 HIGHWAY 90, SUITE D, MILTON, FL, 325704560, US | 6002 BERRYHILL RD, MILTON, FL, 325705062, US | |||||||||||||||||||||||
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| Phone | +1 850-564-1030 |
| Fax | 8505641039 |
| Phone | +1 850-626-7762 |
Authorized person
| Name | PATRICIA S. HAMBLEY |
| Role | PRESIDENT |
| Phone | 8505641030 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 054828600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEVSNER, DEBORAH L, MD | Secretary | 6478 HIGHWAY 90 STE D, MILTON, FL, 32570 |
| NATHAN D CECAVA, MD | Treasurer | 6478 HIGHWAY 90, MILTON, FL, 32570 |
| MARTI, JON K, DO | Director | 6478 HIGHWAY 90 STE D, MILTON, FL, 32570 |
| ROSS DAVID M., MD | Agent | 6002 BERRYHILL RD, MILTON, FL, 32570 |
| ROSS, DAVID M, MD | President | 6478 HIGHWAY 90 STE D, MILTON, FL, 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-19 | ROSS, DAVID M., MD | - |
| CHANGE OF MAILING ADDRESS | 2006-03-15 | 6002 BERRYHILL RD, MILTON, FL 32570 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-19 | 6002 BERRYHILL RD, MILTON, FL 32570 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-19 | 6002 BERRYHILL RD, MILTON, FL 32570 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| AMENDED ANNUAL REPORT | 2023-07-05 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-14 |
| AMENDED ANNUAL REPORT | 2021-07-12 |
| ANNUAL REPORT | 2021-02-19 |
| AMENDED ANNUAL REPORT | 2020-08-25 |
| ANNUAL REPORT | 2020-04-02 |
| AMENDED ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2019-04-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
