Search icon

PALM BEACH RADIOLOGY PROFESSIONALS, P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: PALM BEACH RADIOLOGY PROFESSIONALS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Mar 2004 (21 years ago)
Date of dissolution: 12 Jun 2015 (10 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 12 Jun 2015 (10 years ago)
Document Number: P04000040546
FEI/EIN Number 200876068
Address: 5301 S CONGRESS AVE, ATLANTIS, FL, 33462
Mail Address: %McGladrey LLP, 100 NE 3rd Ave, Fort Lauderdale, FL, 33301, US
ZIP code: 33462
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILLIAMS LORNA M President 5301 S CONGRESS AVE, ATLANTIS, FL, 33462
HERNANDEZ SANTIAGO M Vice President 5301 S CONGRESS AVE, ATLANTIS, FL, 33462
Dascal David M Secretary 5301 S CONGRESS AVE, ATLANTIS, FL, 33462
GITTLEMAN ADAM M Treasurer 5301 S CONGRESS AVE, ATLANTIS, FL, 33462
- Agent -

National Provider Identifier

NPI Number:
1396711933

Authorized Person:

Name:
SANTIAGO HERNANDEZ
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0203X - Therapeutic Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
3055036329
Fax:
5615481238

Form 5500 Series

Employer Identification Number (EIN):
200876068
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
19
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2015-06-12 - -
REGISTERED AGENT NAME CHANGED 2015-04-22 NRAI SERVICES, INC. -
CHANGE OF MAILING ADDRESS 2013-02-25 5301 S CONGRESS AVE, ATLANTIS, FL 33462 -
AMENDMENT 2012-10-15 - -
REGISTERED AGENT ADDRESS CHANGED 2007-12-28 1200 South Pine Island Road, Plantation, FL 33324 -
CHANGE OF PRINCIPAL ADDRESS 2007-04-02 5301 S CONGRESS AVE, ATLANTIS, FL 33462 -

Documents

Name Date
CORAPVDWN 2015-06-12
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-02-25
Amendment 2012-10-15
ANNUAL REPORT 2012-01-25
ANNUAL REPORT 2011-01-19
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-03-17
ANNUAL REPORT 2008-02-14

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State