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WEST BOYNTON BEACH OPEN IMAGING CENTER, LLC - Florida Company Profile

Company Details

Entity Name: WEST BOYNTON BEACH OPEN IMAGING CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Oct 2007 (17 years ago)
Document Number: M07000006052
FEI/EIN Number 383765737

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376711309 2008-02-12 2010-05-18 10151 ENTERPRISE CENTER BLVD, SUITE 109, BOYNTON BEACH, FL, 334373759, US 10151 ENTERPRISE CENTER BLVD, SUITE 109, BOYNTON BEACH, FL, 334373759, US

Contacts
Phone +1 561-752-5050
Fax 5613645606

Authorized person
Name WANDA FOGARTY
Role VP IMAGING SERVICES
Phone 5618383630

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000260600
State FL
Issuer BCBS OF FL
Number V3267
State FL

Key Officers & Management

Name Role Address
FRANCK II JOHN M Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
HAZEN SAMUEL N Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
C T CORPORATION SYSTEM Agent -

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-04-24 ONE PARK PLAZA, NASHVILLE, TN 37203 -

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-10
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-21

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IMAGING SERVICES OF JACKSONVILLE, LLC LARGO PHYSICIAN GROUP, LLC GULF COAST INPATIENT SPECIALISTS, LLC HOSPITALISTS OF WESTSIDE REGIONAL MEDICAL CENTER, LLC OCALA HEALTH SURGICAL GROUP, LLC GAINESVILLE PHYSICIANS, LLC NORTHWEST FLORIDA PRIMARY CARE, LLC HCA - WHS SERVICES, LLC HCA - WHS PROGRESSIVE, LLC KENDALL MEDICAL SPECIALISTS, LLC

ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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