| Entity Name: | PENSACOLA DIAGNOSTIC RADIOGRAPHY INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Sep 1992 (32 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2017 (7 years ago) |
| Document Number: | V63435 |
| FEI/EIN Number | 59-3143787 |
| Address: | 4315 SUGAR MILL BEND, PACE, FL 32571 |
| Mail Address: | 4315 SUGAR MILL BEND, PACE, FL 32571 |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629286240 | 2007-05-18 | 2021-10-05 | 4315 SUGAR MILL BND, PACE, FL, 325718646, US | 4315 SUGAR MILL BND, PACE, FL, 325718646, US | |||||||||||||||||||
|
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| Phone | +1 850-206-7660 |
| Fax | 8506378044 |
Authorized person
| Name | TAMMY GRIFFIN |
| Role | OWNER |
| Phone | 8502067660 |
Taxonomy
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | JR3105700 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Erickson, Steven J | Agent | 6200 W. Jackson Street, Pensacola, FL 32506 |
| Name | Role | Address |
|---|---|---|
| Griffin, Tammy L | President | 1724 Old Castleberry Road, Brewton, AL 36426 |
| Name | Role | Address |
|---|---|---|
| Griffin, Tammy L | Secretary | 1724 Old Castleberry Road, Brewton, AL 36426 |
| GRIFFIN, Emily R | Secretary | 1724 Old Castleberry Rd., Brewton, AL 36426 |
| Name | Role | Address |
|---|---|---|
| Griffin, Tammy L | Treasurer | 1724 Old Castleberry Road, Brewton, AL 36426 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, Emily R | Vice President | 1724 Old Castleberry Rd., Brewton, AL 36426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-12-10 | 4315 SUGAR MILL BEND, PACE, FL 32571 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-24 | 4315 SUGAR MILL BEND, PACE, FL 32571 | No data |
| REINSTATEMENT | 2017-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-20 | 6200 W. Jackson Street, Pensacola, FL 32506 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-20 | Erickson, Steven J | No data |
| CANCEL ADM DISS/REV | 2004-05-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-26 |
| AMENDED ANNUAL REPORT | 2021-10-01 |
| AMENDED ANNUAL REPORT | 2021-09-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-05-29 |
| ANNUAL REPORT | 2018-05-01 |
| REINSTATEMENT | 2017-10-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
