| Entity Name: | BEACHES MRI OF PSL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Oct 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Jan 2024 (a year ago) |
| Document Number: | L13000138607 |
| FEI/EIN Number | 46-3864830 |
| Address: | 8300 WEST SUNRISE BLVD., PLANTATION, FL, 33322, US |
| Mail Address: | 8300 WEST SUNRISE BLVD., PLANTATION, FL, 33322, US |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639507585 | 2013-10-30 | 2013-10-30 | 1615 NW FEDERAL HWY, STUART, FL, 349949629, US | 10377 S US HIGHWAY 1, STE 100, PORT ST LUCIE, FL, 349525630, US | |||||||||||||||||||||||||||
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| Phone | +1 772-337-9191 |
| Fax | 7723377772 |
Authorized person
| Name | DR. ANDREW T WALKER |
| Role | OFFICER |
| Phone | 7723237321 |
Taxonomy
| Taxonomy Code | 2085N0700X - Neuroradiology Physician |
| License Number | EXEMPT |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | EXEMPT |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LEGALINC CORPORATE SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SPEED DARREN | Manager | 8300 WEST SUNRISE BLVD., PLANTATION, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| FIX THOMAS MD | Owner | 8300 WEST SUNRISE BLVD., PLANTATION, FL, 33322 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000113657 | BEACHES MRI OF PSL | EXPIRED | 2013-11-19 | 2018-12-31 | No data | 1615 NW FEDERAL HWY, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-01-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 8300 WEST SUNRISE BLVD., PLANTATION, FL 33322 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-12 | 8300 WEST SUNRISE BLVD., PLANTATION, FL 33322 | No data |
| LC STMNT OF RA/RO CHG | 2023-12-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-15 | LEGALINC CORPORATE SERVICES INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-15 | 476 RIVERSIDE AVE, JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| LC Amendment | 2024-01-12 |
| CORLCRACHG | 2023-12-15 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
