| Entity Name: | KENDALL REGIONAL RADIOLOGY & IMAGING ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jun 1995 (30 years ago) |
| Document Number: | P95000043035 |
| FEI/EIN Number | 650590512 |
| Address: | BOX 65-4715, MIAMI, FL, 33165, US |
| Mail Address: | P O BOX 65-4715, MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417055112 | 2006-09-20 | 2020-08-22 | 5901 SW 74TH ST, SUITE 202, MIAMI, FL, 331435165, US | 11750 SW 40TH ST, MIAMI, FL, 331753530, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-665-4614 |
| Fax | 3056670239 |
Authorized person
| Name | ROBERT CALDERON |
| Role | PRESIDENT |
| Phone | 3056654614 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CALDERON ROBERTO | Agent | 12095 S.W. 49 STREET, MIAMI, FL, 331755605 |
| Name | Role | Address |
|---|---|---|
| CALDERON ROBERTO | President | 12095 SW 49TH ST, MIAMI, FL |
| Name | Role | Address |
|---|---|---|
| TELLERIA JUAN | Director | 9200 SW 101 ST, MIAMI, FL, 331763039 |
| ASHOURI MODAR | Director | 6666 SW 115TH COURT, #108, MIAMI, FL |
| BORRERO GEORGE | Director | 14838 SW 35 ST, DAVIE, FL, 33331 |
| Terrero Juan CDr. | Director | 12095 SW 49 ST, MIAMI, FL, 331755605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2009-10-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
