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FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC

Company Details

Entity Name: FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Jun 2004 (21 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 16 Apr 2010 (15 years ago)
Document Number: P04000095540
FEI/EIN Number 861109360
Address: 4721 E.MOODY BLVD, SUITS 104, BUNNELL, FL, 32110, US
Mail Address: 4721 E.MOODY BLVD, BLDG 1, 104, BUNNELL, FL, 32110, US
ZIP code: 32110
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043085251 2023-11-17 2023-11-17 1001 W CYPRESS CREEK RD STE 104, FT LAUDERDALE, FL, 333091947, US 1001 W CYPRESS CREEK RD STE 104, FT LAUDERDALE, FL, 333091947, US

Contacts

Phone +1 386-586-6229

Authorized person

Name OLEG CHEBERKO
Role OWNER
Phone 3865866229

Taxonomy

Taxonomy Code 261QR0208X - Mobile Radiology Clinic/Center
Is Primary Yes
Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary No

Agent

Name Role Address
CHEBERKO OLEG Agent 4721 E.MOODY BLVD, BUNNELL,, FL, 32110

President

Name Role Address
CHEBERKO OLEG President 4721 E. MOODY BLVD SUITE 104, BUNNELL, FL, 32110

Director

Name Role Address
Cheberko Gabriella V Director 4721 E. Moody blvd. Ste.104, Bunnell, FL, 32110

Vice President

Name Role Address
Robinson Irina Vice President 4721 E.MOODY BLVD, BUNNELL, FL, 32110

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000112061 TRANSCARE MEDICAL EXPIRED 2016-10-14 2021-12-31 No data 4721 E.MOODY BLVD, BLDG 1 104, BUNNELL,, FL, 32110

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-06 4721 E.MOODY BLVD, SUITS 104, BUNNELL, FL 32110 No data
CHANGE OF MAILING ADDRESS 2016-06-17 4721 E.MOODY BLVD, SUITS 104, BUNNELL, FL 32110 No data
CANCEL ADM DISS/REV 2010-04-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-11-06 4721 E.MOODY BLVD, SUITE 104, BUNNELL,, FL 32110 No data
CANCEL ADM DISS/REV 2008-11-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CANCEL ADM DISS/REV 2007-10-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-06-17
AMENDED ANNUAL REPORT 2015-03-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State