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ADVENTHEALTH WEST FLORIDA IMAGING, INC. - Florida Company Profile

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Company Details

Entity Name: ADVENTHEALTH WEST FLORIDA IMAGING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 24 Sep 2019 (6 years ago)
Document Number: N19000010133
FEI/EIN Number 84-3225135

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 14055 RIVEREDGE DRIVE, SUITE 250, TAMPA, FL, 33637, US
Mail Address: 14055 RIVEREDGE DRIVE, SUITE 250, TAMPA, FL, 33637, US
ZIP code: 33637
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ottati David Chairman 14055 Riveredge Drive, Suite 250, Tampa, FL, 33637
Didenko Vadym Treasurer 3100 East Fletcher Ave, Tampa, FL, 33613
Bergherm Bruce Secretary 14055 Riveredge Drive Suite 250, Tampa, FL, 33637
Presswood Clay Director 14055 Riveredge Drive Ste. 250, Tampa, FL, 33637
Schuman Jessica Agent 14055 RIVEREDGE DRIVE, SUITE 250, TAMPA, FL, 33637
Adventhealth West Florida Ambulatory Servi Member 14055 Riveredge Drive, Tampa, FL, 33637

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PVCFZP5H2WW5
UEI Expiration Date:
2026-02-06

Business Information

Doing Business As:
ADVENTHEALTH WEST FLORIDA IMAGING INC
Activation Date:
2025-02-10
Initial Registration Date:
2023-10-19

National Provider Identifier

NPI Number:
1376247577
Certification Date:
2025-02-04

Authorized Person:

Name:
JAMES CLAY PRESSWOOD
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000161106 ADVENTHEALTH IMAGING CENTER BLOOMINGDALE ACTIVE 2022-12-29 2027-12-31 - 13403 BOYETTE ROAD, SUITE 150, RIVERVIEW, FL, 33578
G22000080403 ADVENTHEALTH IMAGING CENTER HEATHBROOK ACTIVE 2022-07-06 2027-12-31 - 3949 SW COLLEGE ROAD, SUITE 150, OCALA, FL, 34474
G21000032933 ADVENTHEALTH IMAGING CENTER NEW TAMPA ACTIVE 2021-03-09 2026-12-31 - 8702 HUNTERS LAKE DRIVE, SUITE 150, TAMPA, FL, 33647-2855
G21000031153 ADVENTHEALTH IMAGING CENTER WESTCHASE ACTIVE 2021-03-05 2026-12-31 - 8702 HUNTERS LAKE DRIVE, SUITE 150, TAMPA, FL, 33647-3855
G21000031148 ADVENTHEALTH IMAGING CENTER WESTCHASE ACTIVE 2021-03-05 2026-12-31 - 10987 SHELDON ROAD, SUITE 100, TAMPA, FL, 33626-4702
G20000028566 ADVENTHEALTH IMAGING CENTER BRANDON ACTIVE 2020-03-05 2025-12-31 - 305 E BRANDON BLVD., SUITE B, BRANDON, FL, 33511-5222
G19000118119 ADVENTHEALTH MOBILE MAMMOGRAPHY ACTIVE 2019-11-01 2029-12-31 - 14055 RIVEREDGE DRIVE, SUITE 250, TAMPA, FL, 33637

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-09-14 Schuman, Jessica -

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-04-24
AMENDED ANNUAL REPORT 2023-10-06
ANNUAL REPORT 2023-01-17
AMENDED ANNUAL REPORT 2022-09-14
AMENDED ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-24
AMENDED ANNUAL REPORT 2020-07-20
ANNUAL REPORT 2020-06-23

Tax Exempt

Employer Identification Number (EIN) :
84-3225135
In Care Of Name:
% MARLENE DURAND
Classification:
Religious Organization
Ruling Date:
1947-04

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Date of last update: 01 Jul 2025

Sources: Florida Department of State