| Entity Name: | SOUTH BROWARD IMAGING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jan 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 May 2024 (9 months ago) |
| Document Number: | L24000021778 |
| Address: | 6517 TAFT ST STE 103, HOLLYWOOD, FL 33024 |
| Mail Address: | 6517 TAFT ST STE 103, HOLLYWOOD, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386497154 | 2024-04-10 | 2024-04-10 | 6517 TAFT ST STE 103, HOLLYWOOD, FL, 330244063, US | 6517 TAFT ST STE 103, HOLLYWOOD, FL, 330244063, US | |||||||||||||
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| Phone | +1 786-732-2380 |
Authorized person
| Name | DR. ANTONIO ALVAREZ |
| Role | OWNER |
| Phone | 7867322380 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALVAREZ, ANTONIO | Agent | 3475 SHERIDAN ST, STE 104, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ, ANTONIO | Manager | 3475 SHERIDAN ST STE 104, HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-05-13 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-05-13 |
| Florida Limited Liability | 2024-01-09 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
