| Entity Name: | RADIOLOGY MANAGEMENT GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 May 2001 (24 years ago) |
| Document Number: | P01000046489 |
| FEI/EIN Number | 651103651 |
| Address: | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 33414 |
| Mail Address: | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932431913 | 2010-02-02 | 2010-07-16 | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 334148792, US | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 334148792, US | |||||||||||||||||||
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| Phone | +1 561-795-9150 |
| Fax | 5617987700 |
Authorized person
| Name | DANIELLE MOORE |
| Role | MANAGED CARE SPECIALIST |
| Phone | 5617959150 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CONROY KELLY | Agent | 11101 S CROWN WAY SUITE 1, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| HUBER JONATHAN S | Director | 11101 S CROWN WAY SUITE 1, WELLINGTON, FL, 33414 |
| BAUMEL ERIC | Director | 11101 S CROWN WAY SUITE 1, WELLINGTON, FL, 33414 |
| KIRCHNER THOMAS | Director | 11101 S CROWN WAY SUITE 1, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
