| Entity Name: | SUNRISE RADIOLOGY SERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2024 (6 months ago) |
| Document Number: | L24000332412 |
| Address: | 1700 NE 57TH ST, FORT LAUDERDALE, FL, 33334 |
| Mail Address: | 1700 NE 57TH ST, FORT LAUDERDALE, FL, 33334 |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457185795 | 2024-08-29 | 2024-08-29 | 1700 NE 57TH ST, FT LAUDERDALE, FL, 333345913, US | 1700 NE 57TH ST, FT LAUDERDALE, FL, 333345913, US | |||||||||||||
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| Phone | +1 888-967-8674 |
Authorized person
| Name | HULDA IGLESIAS GONZALEZ |
| Role | OWNER |
| Phone | 8889678674 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IGLESIAS GONZALEZ HULDA E | Agent | 1700 NE 57TH ST, FORT LAUDERDALE, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| IGLESIAS GONZALEZ HULDA E | Manager | 1700 NE 57TH ST, FORT LAUDERDALE, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| SORDIA ROBAINA NESTOR M | Vice President | 11378 W FLAGLER ST APT 102A, MIAMI, FL, 33174 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
