| Entity Name: | IDEAL IMAGE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 May 2009 (16 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Oct 2023 (a year ago) |
| Document Number: | M09000001932 |
| FEI/EIN Number | 26-3840614 |
| Address: | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| Mail Address: | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851641211 | 2012-09-13 | 2012-09-13 | 8314 MILLS DR, MIAMI, FL, 331834806, US | 8314 MILLS DR, MIAMI, FL, 331834806, US | |||||||||||||||||||
|
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| Phone | +1 786-398-4420 |
| Fax | 7863530844 |
Authorized person
| Name | MS. LESLIE M ABASCAL |
| Role | PROVIDER |
| Phone | 7863984420 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 9235462 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Greenawalt, Rebecca | Chief Executive Officer | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Olivier, Dan | Chief Accounting Officer | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Hasiba, Adam | Chief Financial Officer | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Leite, Sharon | Manager | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000107054 | IDEAL IMAGE | ACTIVE | 2016-09-29 | 2026-12-31 | No data | 1 NORTH DALE MABRY HIGHWAY, SUITE 1200, TAMPA, FL, 33609 |
| G10000090070 | IDEAL IMAGE | EXPIRED | 2010-10-01 | 2015-12-31 | No data | 4830 W. KENNEDY BLVD, SUITE 440, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 1 North Dale Mabry Hwy, Suite 1200, Tampa, FL 33609 | No data |
| LC STMNT OF RA/RO CHG | 2023-10-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-27 | 801 US HWY 1, NORTH PALM BEACH, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-27 | CORPORATE CREATIONS NETWORK, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| CORLCRACHG | 2023-10-27 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-08-12 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-01-03 |
| AMENDED ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2018-03-19 |
| AMENDED ANNUAL REPORT | 2017-07-19 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
