| Entity Name: | CJM RADIOLOGY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Aug 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P17000067550 |
| FEI/EIN Number | 82-2452728 |
| Address: | 11268 BIENVENIDA WAY, UNIT 202, FORT MYERS, FL, 33908, US |
| Mail Address: | 11268 BIENVENIDA WAY, UNIT 202, FORT MYERS, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093214132 | 2018-02-05 | 2018-02-05 | 14631 SAFE LANDING CT, FORT MYERS, FL, 339084932, US | 14631 SAFE LANDING CT, FORT MYERS, FL, 339084932, US | |||||||||||||||||
|
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| Phone | +1 239-565-9266 |
Authorized person
| Name | CHAIM MARGOLIN |
| Role | MD, CEO |
| Phone | 2395659266 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARGOLIN CHAIM J | Agent | 14631 SAFE LANDING COURT, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| MARGOLIN CHAIM | President | 14631 SAFE LANDING COURT, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| MARGOLIN CHAIM | Director | 14631 SAFE LANDING COURT, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-04 | 11268 BIENVENIDA WAY, UNIT 202, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2018-09-04 | 11268 BIENVENIDA WAY, UNIT 202, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-16 |
| Domestic Profit | 2017-08-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
