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SOUTH BROWARD MRI LLC

Company Details

Entity Name: SOUTH BROWARD MRI LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Mar 2024 (10 months ago)
Document Number: L24000127863
FEI/EIN Number 99-2054128
Address: 6517 TAFT ST, SUITE 103, HOLLYWOOD, FL 33024
Mail Address: 6517 TAFT ST, SUITE 103, HOLLYWOOD, FL 33024
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952147712 2024-07-02 2024-07-02 7404 SW 48TH ST STE B, MIAMI, FL, 331554415, US 6517 TAFT ST STE 103, HOLLYWOOD, FL, 330244063, US

Contacts

Phone +1 954-883-9289

Authorized person

Name STEVE MENA
Role OWNER
Phone 3055463809

Taxonomy

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

Agent

Name Role Address
MENA, STEVE Agent 3841 SW 145 PL, MIAMI, FL 33175

Manager

Name Role Address
MENA, STEVE Manager 3841 SW 145 PL, MIAMI, FL 33175

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000114779 THE MRI GROUP OF HOLLYWOOD ACTIVE 2024-09-13 2029-12-31 No data 6517 TAFT ST SUITE 103, HOLLYWOOD, FL, 33024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 6517 TAFT ST, SUITE 103, HOLLYWOOD, FL 33024 No data
CHANGE OF MAILING ADDRESS 2024-04-23 6517 TAFT ST, SUITE 103, HOLLYWOOD, FL 33024 No data

Documents

Name Date
Florida Limited Liability 2024-03-14

Date of last update: 07 Jan 2025

Sources: Florida Department of State