| Entity Name: | MEDICAL DIAGNOSTIC SERVICES OF CENTRAL FLORIDA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Feb 1994 (31 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P94000013742 |
| FEI/EIN Number | 59-3225822 |
| Address: | 5515 W. OAKHILL STREET, DUNNELLON, FL 34433 |
| Mail Address: | 5515 W. OAKHILL STREET, DUNNELLON, FL 34433 |
| ZIP code: | 34433 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316074594 | 2007-02-27 | 2020-08-22 | 5515 W OAKHILL ST, DUNNELLON, FL, 344382534, US | 1150 HWY 41, JASPER, FL, 320521150, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-489-5873 |
| Fax | 3524895873 |
| Phone | +1 386-792-2662 |
| Fax | 3867922662 |
Authorized person
| Name | MR. KEVIN B OSULLIVAN |
| Role | CEO |
| Phone | 3524895873 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V2017 |
| State | FL |
| Issuer | AV MED |
| Number | 225296 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| O'SULLIVAN, JEAN | Agent | 5515 W. OAKHILL STREET, DUNNELLON, FL 34433 |
| Name | Role | Address |
|---|---|---|
| O'SULLIVAN, KEVIN B | Director | 5515 W. OAKHILL STREET, DUNNELLON, FL 34433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-12-04 | O'SULLIVAN, JEAN | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2009-12-04 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-01-15 |
| ANNUAL REPORT | 2007-01-09 |
| ANNUAL REPORT | 2006-01-09 |
| ANNUAL REPORT | 2005-01-07 |
| ANNUAL REPORT | 2004-01-06 |
| ANNUAL REPORT | 2003-01-08 |
| ANNUAL REPORT | 2002-04-11 |
| ANNUAL REPORT | 2001-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
