| Entity Name: | FLORIDA RADIOLOGY ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | L24000062588 |
| Address: | 221 W. HALLANDALE BLVD., SUITE 122, HALLANDALE BEACH, FL 33009, FL 33009 |
| Mail Address: | 221 W. HALLANDALE BLVD., SUITE 122, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497510978 | 2024-02-14 | 2024-07-29 | 26500 AGOURA RD STE 102-587, CALABASAS, CA, 913021952, US | 600 E DIXIE AVE, LEESBURG, FL, 347485925, US | |||||||||||||||||||
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| Phone | +1 747-293-9005 |
| Phone | +1 747-924-9005 |
Authorized person
| Name | PATRICK SANTORE JR. |
| Role | CEO |
| Phone | 8139241577 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RABINOVICH, MARK | Agent | 221 W. HALLANDALE BLVD., SUITE 122, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| RABINOVICH, MARK | Manager | 221 W. HALLANDALE BEACH, SUITE 122, HALLANDALE BEACH, FL 33009 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-02 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
