| Entity Name: | DAVIS DIAGNOSTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Aug 2002 (22 years ago) |
| Date of dissolution: | 30 Dec 2008 (16 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 30 Dec 2008 (16 years ago) |
| Document Number: | M02000002194 |
| FEI/EIN Number | 51-0420419 |
| Address: | 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 |
| Mail Address: | 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 |
| ZIP code: | 34236 |
| County: | Sarasota |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992708580 | 2005-05-27 | 2020-08-22 | 240 N WASHINGTON BLVD, SARASOTA, FL, 342365945, US | 290 CLYDE MORRIS BLVD, STE C1, ORMOND BEACH, FL, 321748204, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-925-3490 |
| Fax | 9419534452 |
| Phone | +1 386-677-8680 |
| Fax | 3866776895 |
Authorized person
| Name | DR. JEFF DAVIS |
| Role | OWNER |
| Phone | 3866778680 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | HCC1817-EXEMPT |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROV # |
| Number | V2694 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KERN, MARTIN J | Manager | 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2008-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-01 | 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 | No data |
| CHANGE OF MAILING ADDRESS | 2008-05-01 | 1358 FRUITVILLE RD, STE 209, SARASOTA, FL 34236 | No data |
| Name | Date |
|---|---|
| LC Withdrawal | 2008-12-30 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-16 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-07-01 |
| ANNUAL REPORT | 2004-09-30 |
| ANNUAL REPORT | 2003-08-14 |
| Foreign Limited | 2002-08-20 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
