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EMRAN, PARVEEN AND SON'S BREAST CENTER, LLC

Company Details

Entity Name: EMRAN, PARVEEN AND SON'S BREAST CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 06 Mar 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Mar 2018 (7 years ago)
Document Number: L07000024769
FEI/EIN Number 20-8588462
Address: 1140 BROADBAND DR, MELBOURNE, FL 32903
Mail Address: P O BOX 33578, INDIALANTIC, FL 32903
ZIP code: 32903
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396992830 2008-08-27 2021-09-30 PO BOX 33428, INDIALANTIC, FL, 329030428, US 1140 BROADBAND DR, MELBOURNE, FL, 329012623, US

Contacts

Phone +1 321-733-1901
Fax 3217330211

Authorized person

Name DR. EMRAN RIAZ IMAMI
Role PRESIDENT
Phone 3217331901

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes
Taxonomy Code 261QR0206X - Mammography Clinic/Center
Is Primary No

Agent

Name Role
LEVINE & STIVERS, LLC Agent

Manager

Name Role Address
IMAMI, EMRAN R Manager P.O. BOX 33578, INDIALANTIC, FL 32903

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000092033 TEPAS BREAST CENTER ACTIVE 2015-09-08 2025-12-31 No data PO BOX 33578, INDIALANTIC, FL, 32903

Events

Event Type Filed Date Value Description
REINSTATEMENT 2018-03-29 No data No data
REGISTERED AGENT NAME CHANGED 2018-03-29 Levine & Stivers, LLC No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-29 245 E Virginia Street, Tallahassee, FL 32301 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-02-25 1140 BROADBAND DR, MELBOURNE, FL 32903 No data
CHANGE OF MAILING ADDRESS 2010-02-25 1140 BROADBAND DR, MELBOURNE, FL 32903 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-12
REINSTATEMENT 2018-03-29
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-04-19
ANNUAL REPORT 2014-04-30

Date of last update: 27 Jan 2025

Sources: Florida Department of State