| Entity Name: | RADIOLOGY SCIENCE INSTITUTE OF MIAMI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Dec 2021 (3 years ago) |
| Document Number: | L21000522069 |
| FEI/EIN Number | 88-1960169 |
| Mail Address: | 60 W. KALEY STREET, ORLANDO, FL 32806 |
| Address: | 7947 NW 2ND STREET, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780393983 | 2022-11-16 | 2022-11-16 | 60 W KALEY ST, ORLANDO, FL, 328062931, US | 7947 NW 2ND ST, MIAMI, FL, 331268000, US | |||||||||||||||||
|
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| Phone | +1 407-757-0979 |
| Phone | +1 305-456-9046 |
| Fax | 3054569293 |
Authorized person
| Name | DR. SEAN MARIUS MAHAN |
| Role | OWNER |
| Phone | 4077570979 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIEDE, ERIN | Agent | 60 W. KALEY STREET, ORLANDO, FL 32806 |
| Name | Role | Address |
|---|---|---|
| MAHAN, SEAN M | Manager | 60 W. KALEY STREET, ORLANDO, FL 32806 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-12-10 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
