| Entity Name: | MORI, BEAN AND BROOKS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MORI, BEAN AND BROOKS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Nov 1968 (56 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Nov 2021 (3 years ago) |
| Document Number: | 600545 |
| FEI/EIN Number |
591226176
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8375 Dix Ellis Trail, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 8375 Dix Ellis Trail, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MORI, BEAN AND BROOKS, INC., ALASKA | 10285493 | ALASKA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1093782070 | 2006-03-08 | 2024-07-12 | PO BOX 116700, ATLANTA, GA, 303686700, US | 8375 DIX ELLIS TRL STE 201, JACKSONVILLE, FL, 322568241, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-399-5550 |
| Fax | 9043464334 |
Authorized person
| Name | SHARLEE LEBLEU |
| Role | VICE PRESIDENT |
| Phone | 4803217026 |
Taxonomy
| Taxonomy Code | 2085B0100X - Body Imaging Physician |
| Is Primary | No |
| Taxonomy Code | 2085N0700X - Neuroradiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085N0904X - Nuclear Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 061242100 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | CK0014 |
| State | GA |
| Name | Role | Address |
|---|---|---|
| Whitney Richard | Director | 2330 Utah Ave.,, El Segundo, CA, 90245 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000111209 | RADIOLOGY ASSOCIATES OF FLORIDA | ACTIVE | 2024-09-06 | 2029-12-31 | - | 8375 DIX ELLIS TRAIL, STE 201, JACKSONVILLE, FL, 32256 |
| G24000111210 | RADIOLOGY PARTNERS FLORIDA | ACTIVE | 2024-09-06 | 2029-12-31 | - | 8375 DIX ELLIS TRAIL, STE 201, JACKSONVILLE, FL, 32256 |
| G22000087503 | RP WEST FLORIDA | ACTIVE | 2022-07-25 | 2027-12-31 | - | 3599 UNIVERSITY BLVD BUILDING 300, JACKSONVILLE, FL, 32216 |
| G22000087501 | RP NORTH FLORIDA | ACTIVE | 2022-07-25 | 2027-12-31 | - | 3599 UNIVERSITY BLVD BUILDING 300, JACKSONVILLE, FL, 32216 |
| G22000087505 | RP EAST FLORIDA | ACTIVE | 2022-07-25 | 2027-12-31 | - | 3599 UNIVERSITY BLVD BUILDING 300, JACKSONVILLE, FL, 32216 |
| G22000087504 | RP SOUTH FLORIDA | ACTIVE | 2022-07-25 | 2027-12-31 | - | 3599 UNIVERSITY BLVD BUILDING, BUILDING 300, JACKSONVILLE, FL, 32216 |
| G22000087502 | RP FLORIDA | ACTIVE | 2022-07-25 | 2027-12-31 | - | 3599 UNIVERSITY BLVD BUILDING 300, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-13 | 8375 Dix Ellis Trail, Suite 201, JACKSONVILLE, FL 32256 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-13 | 8375 Dix Ellis Trail, Suite 201, JACKSONVILLE, FL 32256 | - |
| AMENDMENT | 2021-11-16 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-16 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | - |
| AMENDMENT | 2018-10-16 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-10-16 | CORPORATION SERVICE COMPANY | - |
| NAME CHANGE AMENDMENT | 2018-09-26 | MORI, BEAN AND BROOKS, INC. | - |
| AMENDMENT | 1992-10-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-26 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-25 |
| Amendment | 2021-11-16 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-24 |
| Amendment | 2018-10-16 |
| Name Change | 2018-09-26 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
