| Entity Name: | MRI ASSOCIATES OF WINTER HAVEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MRI ASSOCIATES OF WINTER HAVEN LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 14 Aug 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 19 Dec 2023 (a year ago) |
| Document Number: | L12000104275 |
| FEI/EIN Number |
46-0775565
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 409 EAST CENTRAL AVE, WINTER HAVEN, FL, 33880, US |
| Mail Address: | 409 EAST CENTRAL AVE, WINTER HAVEN, FL, 33880, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386991974 | 2012-08-14 | 2023-07-17 | 409 E CENTRAL AVE, WINTER HAVEN, FL, 338803051, US | 409 E CENTRAL AVE, WINTER HAVEN, FL, 338803051, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-294-0999 |
| Fax | 8632940100 |
| Fax | 8632940010 |
Authorized person
| Name | AMANDA MAPLE |
| Role | DIRECTOR |
| Phone | 7277876900 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC9859 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113976600 |
| State | FL |
| Issuer | BCBS |
| Number | V00AV |
| State | FL |
| Issuer | AGENCY FOR HEALTHCARE ADMINISTRATION |
| Number | HCC9859 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIECIDUE FRANK J | Chief Executive Officer | 32615 US HWY 19 N, SUITE 4, PALM HARBOR, FL, 34684 |
| DAVIS GREGORY S | Chief Executive Officer | 32615 US HWY 19 N, SUITE 4, PALM HARBOR, FL, 34684 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000021953 | WINTER HAVEN MRI | ACTIVE | 2023-02-15 | 2028-12-31 | - | 32615 US HWY 19 N STE 4, PALM HARBOR, FL, 34684 |
| G12000080269 | WINTER HAVEN MRI | EXPIRED | 2012-08-14 | 2017-12-31 | - | 409 E CENTRAL AVE, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 409 EAST CENTRAL AVE, WINTER HAVEN, FL 33880 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 409 EAST CENTRAL AVE, WINTER HAVEN, FL 33880 | - |
| LC STMNT OF RA/RO CHG | 2023-12-19 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-12-19 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-19 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-04-17 |
| CORLCRACHG | 2023-12-19 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-21 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
