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PROFESSIONAL MOBILE DIAGNOSTIC SERVICES INC

Company Details

Entity Name: PROFESSIONAL MOBILE DIAGNOSTIC SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 May 2010 (15 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P10000045062
Address: 2600 SW 126 AVE, MIAMI, FL, 33175
Mail Address: 2600 SW 126 AVE, MIAMI, FL, 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295041416 2010-08-25 2010-08-25 2600 SW 126TH AVE, MIAMI, FL, 331752129, US 2600 SW 126TH AVE, MIAMI, FL, 331752129, US

Contacts

Phone +1 305-608-6380
Fax 3056625965

Authorized person

Name SCOTT BERNSTEIN
Role PRESIDENT
Phone 3056086380

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
License Number 2471V0105X
State FL
Is Primary Yes

Agent

Name Role Address
BERNSTEIN SCOTT M Agent 6701 SUNSET DRIVE, MIAMI, FL, 33143

President

Name Role Address
BERNSTEIN SCOTT M President 6701 SUNSET DRIVE, MIAMI, FL, 33143

Vice President

Name Role Address
RIVERA ERIK A Vice President 2600 SW 126 AVE, MIAMI, FL, 33175

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
Domestic Profit 2010-05-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State