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ADVANCED IMAGING CENTER OF CLERMONT, INC.

Company Details

Entity Name: ADVANCED IMAGING CENTER OF CLERMONT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Oct 1998 (26 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P98000092523
FEI/EIN Number 593541619
Address: 4447 WINDSMERE BLVD, ORLANDO, FL, 32835
Mail Address: 4447 WINDSMERE BLVD, ORLANDO, FL, 32835
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831200211 2006-08-31 2020-08-22 262 MOHAWK RD, CLERMONT, FL, 347157433, US 262 MOHAWK RD, CLERMONT, FL, 347157433, US

Contacts

Phone +1 352-243-2111
Fax 3522432112

Authorized person

Name MR. ROMAN DUBSKY
Role PRESIDENT
Phone 4079271147

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number HCC4848
State FL
Is Primary Yes

Agent

Name Role Address
TALBERT TONY Agent 4447 WINDSMERE BLVD, ORLANDO, FL, 32835

Director

Name Role Address
TALBERT TONY Director 4447 WINDSMERE BLVD, ORLANDO, FL, 32835

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-18 4447 WINDSMERE BLVD, ORLANDO, FL 32835 No data
CHANGE OF MAILING ADDRESS 2009-04-18 4447 WINDSMERE BLVD, ORLANDO, FL 32835 No data
REGISTERED AGENT NAME CHANGED 2009-04-18 TALBERT, TONY No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-18 4447 WINDSMERE BLVD, ORLANDO, FL 32835 No data

Documents

Name Date
ANNUAL REPORT 2010-03-28
ANNUAL REPORT 2009-04-18
ANNUAL REPORT 2008-07-08
ANNUAL REPORT 2007-02-04
ANNUAL REPORT 2006-05-10
ANNUAL REPORT 2005-04-30
ANNUAL REPORT 2004-04-24
ANNUAL REPORT 2003-01-13
ANNUAL REPORT 2002-05-15
ANNUAL REPORT 2001-03-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State