| Entity Name: | ADVANCED DIAGNOSTIC SOLUTIONS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Apr 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Jan 2014 (11 years ago) |
| Document Number: | P11000032230 |
| FEI/EIN Number | 45-1333670 |
| Address: | 13266 Byrd Dr STE 100 #639, Odessa, FL 33556 |
| Mail Address: | 13266 Byrd Dr, STE 100 #639, Odessa, FL 33556-5309 |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013204577 | 2011-07-06 | 2022-12-07 | 3633 LITTLE RD STE 103, TRINITY, FL, 346551815, US | 3633 LITTLE RD STE 103, TRINITY, FL, 346551815, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-293-2810 |
| Fax | 7272642117 |
Authorized person
| Name | MR. BRANDON M WOMACK |
| Role | CEO |
| Phone | 3522932810 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 002AN |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WOMACK, BRANDON M, CEO | Agent | 13266 Byrd Dr, STE 100 #639, Odessa, FL 33556-5309 |
| Name | Role | Address |
|---|---|---|
| WOMACK, BRANDON M | Chief Executive Officer | 13266 Byrd Dr, STE 100 #639 Odessa, FL 33556-5309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000068079 | HOMECARE MEDICAL SERVICES | EXPIRED | 2011-07-07 | 2016-12-31 | No data | PO BOX 10901, BROOKSVILLE, FL, 34603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-05 | 13266 Byrd Dr STE 100 #639, Odessa, FL 33556 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-25 | 13266 Byrd Dr STE 100 #639, Odessa, FL 33556 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-25 | WOMACK, BRANDON M, CEO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 13266 Byrd Dr, STE 100 #639, Odessa, FL 33556-5309 | No data |
| AMENDMENT | 2014-01-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-14 |
| Off/Dir Resignation | 2019-08-08 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-15 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
