| Entity Name: | AURORA BREAST IMAGING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jul 2023 (2 years ago) |
| Document Number: | L23000343962 |
| FEI/EIN Number | 93-2475950 |
| Address: | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Mail Address: | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437831294 | 2023-08-02 | 2024-07-31 | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216548, US | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330216548, US | |||||||||||||||
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| Phone | +1 954-908-1277 |
| Fax | 9549081278 |
Authorized person
| Name | AURORA LUNA |
| Role | OWNER |
| Phone | 7137035255 |
Taxonomy
| Taxonomy Code | 261QR0206X - Mammography Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUNA AURORA | Agent | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| LUNA AURORA | Authorized Member | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| FERNANDEZ WIFREDO | Authorized Member | 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| Florida Limited Liability | 2023-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
