| Entity Name: | PRIME RADIOLOGY OF WINTER HAVEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2015 (10 years ago) |
| Date of dissolution: | 06 Apr 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Apr 2018 (7 years ago) |
| Document Number: | P15000001992 |
| FEI/EIN Number | 47-2835046 |
| Address: | 7524 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 33884, US |
| Mail Address: | 18981 US HWY 441, STE. 350, #113, MOUNT DORA, FL, 32757, US |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669864658 | 2015-02-27 | 2017-04-19 | 7524 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | 7524 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, 338843200, US | |||||||||||||||||||||||||
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| Phone | +1 850-624-5666 |
| Fax | 3213485777 |
Authorized person
| Name | THOMAS BROWN |
| Role | MEDICAL DIRECTOR |
| Phone | 8506245666 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME62144 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME62144 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN THOMAS DMD | Agent | 13750 W COLONIAL DRIVE, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| BROWN THOMAS DMD | President | 13750 W COLONIAL DRIVE, STE 350 #113, WINTER GARDEN, FL, 34787 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000031731 | PRIME RADIOLOGY | EXPIRED | 2015-03-27 | 2020-12-31 | No data | 13750 W COLONIAL DRIVE, STE 350 #113, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-16 | 7524 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-12 | 7524 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000011672 | LAPSED | 35 2019 CA 002216 | LAKE CO | 2019-10-22 | 2025-01-08 | $489,124.43 | NFS LEASING, INC, 900 CUMMINGS CENTER SUITE 226-U, BEVERLY, MA 01915 |
| J24000783918 | ACTIVE | 35-2019-CA-002216 | LAKE CTY CIR CT 5TH JUD CIR | 2019-10-22 | 2029-12-19 | $489,124.43 | NFS LEASING, INC., 900 CUMMINGS CENTER SUITE 226-U, BEVERLY, MA 01915 |
| J19000135275 | LAPSED | 35-2018-CA-000046 | LAKE COUNTY CIRCUIT COURT | 2019-02-05 | 2024-02-27 | $263,987.16 | EVERBANK COMMERCIAL FINANCE, INC., 10 WATERVIEW BLVD., PARSIPPANY, NJ 07054 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-03-03 |
| Domestic Profit | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
