| Entity Name: | PRESGAR IMAGING OF ROCKLEDGE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Nov 1998 (26 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Oct 2011 (13 years ago) |
| Document Number: | L98000003046 |
| FEI/EIN Number | 593534428 |
| Address: | 24164 State Road 54 - Ste #2, Lutz, FL, 33559, US |
| Mail Address: | 24164 State Road 54 - Ste #2, Lutz, FL, 33559, US |
| ZIP code: | 33559 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225015357 | 2005-12-29 | 2021-10-28 | 23110 STATE RD 54, PMB 292, LUTZ, FL, 335492921, US | 1978 ROCKLEDGE BLVD, SUITE 101, ROCKLEDGE, FL, 329553722, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 352-578-2055 |
| Fax | 8139710818 |
| Phone | +1 321-633-1600 |
| Fax | 3216330433 |
Authorized person
| Name | ROBBIE ROBERTSON |
| Role | PRESIDENT AND CEO |
| Phone | 8133232594 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | HCC5110 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CG5418 |
| State | FL |
| Issuer | MEDICAID |
| Number | 257947200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WRIGHT GARY W | Agent | 24164 State Road 54 - Ste #2, Lutz, FL, 33559 |
| Name | Role | Address |
|---|---|---|
| WRIGHT GARY W | Manager | 24164 State Road 54 - Ste #2, Lutz, FL, 33559 |
| Name | Role | Address |
|---|---|---|
| Robertson Robbie | President | 24164 State Road 54 - Ste #2, Lutz, FL, 33559 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000035126 | OPEN MRI OF ROCKLEDGE | ACTIVE | 2015-04-07 | 2025-12-31 | No data | 24164 SR 54, LUTZ, FL, 33559 |
| G11000031383 | SOUTH BREVARD IMAGING | EXPIRED | 2011-03-29 | 2016-12-31 | No data | 14025 RIVEREDGE DRIVE, SUITE 550, TAMPA, FL, 33637 |
| G09020900072 | OPEN MRI OF ROCKLEDGE | EXPIRED | 2009-01-20 | 2014-12-31 | No data | 14025 RIVEREDGE DRIVE, SUITE 600, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-01 | 24164 State Road 54 - Ste #2, Lutz, FL 33559 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-01 | 24164 State Road 54 - Ste #2, Lutz, FL 33559 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-01 | 24164 State Road 54 - Ste #2, Lutz, FL 33559 | No data |
| LC AMENDMENT | 2011-10-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-18 | WRIGHT, GARY W | No data |
| REINSTATEMENT | 2000-11-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-05-09 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
