Entity Name: | GAINESVILLE OPEN MRI CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 May 1996 (29 years ago) |
Document Number: | P96000040040 |
FEI/EIN Number | 593372467 |
Address: | 4340 NEWBERRY ROAD, SUITE 104, GAINESVILLE, FL, 32607, US |
Mail Address: | 7777 131st St N, Seminole, FL, 33776, US |
ZIP code: | 32607 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942203567 | 2005-05-27 | 2024-06-13 | PO BOX 947379, ATLANTA, GA, 303947379, US | 4340 W NEWBERRY RD, SUITE 104, GAINESVILLE, FL, 326072586, US | |||||||||||||||||||
|
Phone | +1 352-377-3100 |
Fax | 3523771286 |
Authorized person
Name | MR. MATTHEW A BROWN |
Role | PRESIDENT/OWNER |
Phone | 7273810906 |
Taxonomy
Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
License Number | HCC3720 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BROWN MATTHEW A | Agent | 6101 CENTRAL AVENUE, ST. PETERSBURG, FL, 33710 |
Name | Role | Address |
---|---|---|
BROWN MATTHEW | President | 7777 131ST ST N, SEMINOLE, FL, 33776 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G13000100731 | GAINESVILLE HIGH FIELD MRI | ACTIVE | 2013-10-11 | 2029-12-31 | No data | 6101 CENTRAL AVE., ST. PETERSBURG, FL, 33710 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CONVERSION | 2024-12-30 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L25000000426. CONVERSION NUMBER 500000262995 |
AMENDMENT | 2012-10-17 | No data | No data |
AMENDMENT AND NAME CHANGE | 2001-06-28 | GAINESVILLE OPEN MRI CENTER, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State