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PALM BEACH IMAGING GROUP LLC

Company Details

Entity Name: PALM BEACH IMAGING GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Sep 2022 (2 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 10 Apr 2023 (2 years ago)
Document Number: L22000404006
FEI/EIN Number 92-2660255
Address: 5917 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33462
Mail Address: 5917 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33462
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679305197 2024-08-14 2024-08-14 5917 S CONGRESS AVE, ATLANTIS, FL, 334621303, US 5917 S CONGRESS AVE, ATLANTIS, FL, 334621303, US

Contacts

Phone +1 561-800-4788
Fax 5612090561

Authorized person

Name GIOVANNI R RODRIGUEZ
Role PD
Phone 5618004788

Taxonomy

Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary Yes

Agent

Name Role Address
RODRIGUEZ, GIOVANNI R Agent 5917 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33462

Manager

Name Role Address
RODRIGUEZ, GIOVANNI R Manager 5917 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33462

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2023-04-10 PALM BEACH IMAGING GROUP LLC No data

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-07-27
LC Amendment and Name Change 2023-04-10
Florida Limited Liability 2022-09-15

Date of last update: 11 Feb 2025

Sources: Florida Department of State