| Entity Name: | NUCLEAR SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Mar 2000 (25 years ago) |
| Document Number: | P00000023599 |
| FEI/EIN Number | 593698451 |
| Address: | 4155 ST. JOHNS PARKWAY, SUITE 1400, SANFORD, FL, 32771 |
| Mail Address: | 4155 ST. JOHNS PARKWAY, SUITE 1400, SANFORD, FL, 32771 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336322825 | 2007-12-07 | 2009-02-05 | 4155 SAINT JOHNS PKWY, #1400, SANFORD, FL, 327716391, US | 4155 SAINT JOHNS PKWY, #1400, SANFORD, FL, 327716391, US | |||||||||||||||||||||
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| Phone | +1 407-320-1889 |
| Fax | 4073200820 |
Authorized person
| Name | MR. ROBERT HANEY SOULE |
| Role | PRESIDENT |
| Phone | 4073201889 |
Taxonomy
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA HEALTH |
| Number | HCC7788 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NUCLEAR SPECIALISTS INC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 593698451 | 2024-07-19 | NUCLEAR SPECIALISTS INC | 21 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-19 |
| Name of individual signing | SHELLY MCCORMICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 4073201889 |
| Plan sponsor’s address | 4155 SAINT JOHNS PKWY STE 1400, SANFORD, FL, 32771 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-13 |
| Name of individual signing | SHELLY MCCORMICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 4073201889 |
| Plan sponsor’s address | 4155 SAINT JOHNS PKWY STE 1400, SANFORD, FL, 32771 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-08 |
| Name of individual signing | SHELLY MCCORMICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 4073201889 |
| Plan sponsor’s address | 4155 SAINT JOHNS PKWY STE 1400, SANFORD, FL, 32771 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-23 |
| Name of individual signing | CHANDLE GUTIERREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| McCormick Shelly | Agent | 4155 ST. JOHNS PARKWAY, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| SOULE ROBERT | Director | 4155 ST. JOHNS PARKWAY 1400, SANFORD, FL, 32771 |
| MCCORMICK SHELLY | Director | 4155 ST. JOHNS PARKWAY 1400, SANFORD, FL, 32771 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
