| Entity Name: | NASSAU OPEN MRI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2004 (21 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 06 Jul 2017 (8 years ago) |
| Document Number: | M04000000262 |
| FEI/EIN Number | 200102387 |
| Address: | 1865 LIME STREET, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 1504 Hardeman Ave, Suite A, Macon, GA, 31201, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235108259 | 2006-03-14 | 2007-11-28 | PO BOX 4003, MACON, GA, 31208, US | 1699 SOUTH 14TH STREET, SUITE 16, FERNANDINA BEACH, FL, 32034, US | |||||||||||||||||||||||||
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| Phone | +1 478-755-9966 |
| Fax | 4787559964 |
| Phone | +1 904-491-7700 |
| Fax | 9044917701 |
Authorized person
| Name | PETER O HOLLIDAY III |
| Role | DIRECTOR |
| Phone | 4784742360 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V2799 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCDANIEL NAWAL B | Agent | 1301 RIVERPLACE BLVD., SUITE 1500, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| HOLLIDAY III, MD PETER O | Manager | 1504 HARDEMAN AVE, MACON, GA, 31201 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-11 | 1865 LIME STREET, SUITE 102, FERNANDINA BEACH, FL 32034 | No data |
| LC STMNT OF RA/RO CHG | 2017-07-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-07-06 | MCDANIEL, NAWAL B | No data |
| LC STMNT OF RA/RO CHG | 2017-01-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-31 | 1865 LIME STREET, SUITE 102, FERNANDINA BEACH, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-22 | 1301 RIVERPLACE BLVD., SUITE 1500, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-18 |
| CORLCRACHG | 2017-07-06 |
| CORLCRACHG | 2017-01-23 |
| ANNUAL REPORT | 2017-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
