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BROADER MRI OF PALM BEACH, LLC - Florida Company Profile

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Company Details

Entity Name: BROADER MRI OF PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Apr 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Sep 2023 (2 years ago)
Document Number: L23000186783
FEI/EIN Number 92-3541297
Mail Address: 2735 PETERS ROAD, FORT PIERCE, FL, 34945, US
ZIP code: 33417
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
IRIBAR JORGE M Manager 11900 WEST DIXIE HIGHWAY, NORTH MIAMI, FL, 33161

National Provider Identifier

NPI Number:
1376224956
Certification Date:
2023-07-27

Authorized Person:

Name:
MANUEL IRIBAR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085B0100X - Body Imaging Physician
Is Primary:
Yes

Contacts:

Fax:
3057689164

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-11 - -
CHANGE OF PRINCIPAL ADDRESS 2023-09-08 5405 OKEECHOBEE BLVD, #101, WEST PALM BEACH, FL 33417 -
CHANGE OF MAILING ADDRESS 2023-09-08 5405 OKEECHOBEE BLVD, #101, WEST PALM BEACH, FL 33417 -
LC STMNT OF RA/RO CHG 2023-06-14 - -
REGISTERED AGENT NAME CHANGED 2023-06-14 REGISTERED AGENTS INC -
REGISTERED AGENT ADDRESS CHANGED 2023-06-14 7901 4TH ST. N, STE. 300, ST. PETERSBURG, FL 33702 -

Documents

Name Date
ANNUAL REPORT 2024-01-30
LC Amendment 2023-09-11
CORLCRACHG 2023-06-14
Florida Limited Liability 2023-04-14

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Date of last update: 02 Aug 2025

Sources: Florida Department of State