| Entity Name: | CHILDREN'S DIAGNOSTIC TESTING GROUP OF PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Sep 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000115481 |
| FEI/EIN Number | 205568178 |
| Address: | 1836 MONTE CARLO WAY, CORAL SPRINGS, FL, 33071, US |
| Mail Address: | 1836 MONTE CARLO WAY, CORAL SPRINGS, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225248149 | 2007-05-22 | 2020-08-22 | 9485 SW 72ND ST, SUITE A150, MIAMI, FL, 331733242, US | 3713 S CONGRESS AVE, LAKE WORTH, FL, 334613753, US | |||||||||||||||||||||||
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| Phone | +1 305-275-6069 |
| Fax | 3054128265 |
Authorized person
| Name | MR. STEPHEN E CIANCIULLI |
| Role | PRESIDENT |
| Phone | 3052756069 |
Taxonomy
| Taxonomy Code | 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WEINBERG STEVEN A | Agent | FRANK, WEINBERG & BLACK, P.L., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| CIANCIULLI STEPHEN E | President | 9485 SUNSET DRIVE, SUITE 150A, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| CIANCIULLI STEPHEN E | Director | 9485 SUNSET DRIVE, SUITE 150A, MIAMI, FL, 33173 |
| GOBSTEIN HAROLD | Director | 1836 MONTE CARLO WAY, CORAL SPRINGS, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| GOBSTEIN HAROLD | Secretary | 1836 MONTE CARLO WAY, CORAL SPRINGS, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-04-29 |
| Domestic Profit | 2006-09-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
