| Entity Name: | NATIONAL NUCLEAR CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jun 1984 (41 years ago) |
| Document Number: | H07913 |
| FEI/EIN Number | 592440695 |
| Address: | 4224 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Mail Address: | 4224 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750377552 | 2005-09-27 | 2018-01-24 | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021, US | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-966-3600 |
| Fax | 9549671962 |
Authorized person
| Name | MR. ANGEL L SOTO JR. |
| Role | PRESIDENT |
| Phone | 9549663600 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC3753 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCCR3753 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0208X - Mobile Radiology Clinic/Center |
| License Number | HCC8933 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | HCC3753 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008641100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL NUCLEAR CENTERS INC 401(K) PROFIT SHARING PLAN & TRUST | 2011 | 592440695 | 2012-07-05 | NATIONAL NUCLEAR CENTERS INC | 5 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 592440695 |
| Plan administrator’s name | NATIONAL NUCLEAR CENTERS INC |
| Plan administrator’s address | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-05 |
| Name of individual signing | BARBARA MARKS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-05 |
| Name of individual signing | BARBARA MARKS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9549663600 |
| Plan sponsor’s address | HOLLYWOOD DIAGNOSTICS CENTER, 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330210000 |
Plan administrator’s name and address
| Administrator’s EIN | 592440695 |
| Plan administrator’s name | NATIONAL NUCLEAR CENTERS INC |
| Plan administrator’s address | HOLLYWOOD DIAGNOSTICS CENTER, 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330210000 |
| Administrator’s telephone number | 9549663600 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-20 |
| Name of individual signing | NATIONAL NUCLEAR CENTERS INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JACQUELINE PALERMO, CPA | Agent | 62 WINDWARD ISLAND, CLEARWATER BEACH, FL, 33767 |
| Name | Role | Address |
|---|---|---|
| SOTO ANGEL | President | 4224 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| MARKS BARBARA | Secretary | 4224 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| PALERMO JACQUELINE | Treasurer | 62 WINDWARD ISLAND, CLEARWATER BEACH, FL, 33767 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000029202 | HOLLYWOOD DIAGNOSTICS URGENT CARE | EXPIRED | 2013-03-25 | 2018-12-31 | No data | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| G11000019324 | HOLLYWOOD DIAGNOSTICS CENTER | ACTIVE | 2011-03-04 | 2026-12-31 | No data | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2011-12-30 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
