| Entity Name: | ADVANCED MOLECULAR IMAGING OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Apr 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L08000034711 |
| Address: | 2650 N. MILITARY TRAIL, STE. 140, BOCA RATON, FL, 33431 |
| Mail Address: | 2650 N. MILITARY TRAIL, STE. 140, BOCA RATON, FL, 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376716530 | 2008-04-09 | 2008-04-09 | 2650 N MILITARY TRL, BOCA RATON, FL, 334316350, US | 2650 N MILITARY TRL, BOCA RATON, FL, 334316350, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-557-8408 |
Authorized person
| Name | MICHAEL FAGIEN |
| Role | CEO |
| Phone | 9545578408 |
Taxonomy
| Taxonomy Code | 2085B0100X - Body Imaging Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085D0003X - Diagnostic Neuroimaging (Radiology) Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME59548 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | ME59548 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAGIEN MICHAEL M | Agent | 2650 N. MILITARY TRAIL, STE. 140, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2008-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
