| Entity Name: | CYPRESS CREEK MRI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Apr 2016 (9 years ago) |
| Document Number: | L16000081942 |
| FEI/EIN Number | 82-5225479 |
| Address: | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 |
| Mail Address: | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205318821 | 2018-08-30 | 2019-10-08 | 4780 SW 64TH AVE STE 103, DAVIE, FL, 333144400, US | 2122 NW 62ND ST STE 107, FORT LAUDERDALE, FL, 333091866, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-434-1705 |
| Fax | 8552892645 |
| Phone | +1 954-677-1069 |
| Fax | 9546771428 |
Authorized person
| Name | LUIS FELIPE LAFRATTA |
| Role | CEO |
| Phone | 9544341705 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Chan-A-Sue, Brian I, President | Agent | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 |
| Name | Role | Address |
|---|---|---|
| Chan-A-Sue, Brian I | President | 2122 NW 62nd Street, Suite 107 Fort Lauderdale, FL 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-30 | Chan-A-Sue, Brian I, President | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-24 | 2122 NW 62nd Street, Suite 107, Fort Lauderdale, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-28 |
| AMENDED ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-06-30 |
| AMENDED ANNUAL REPORT | 2019-07-24 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-23 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
