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GAINESVILLE OPEN MRI CENTER, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BROWN MATTHEW A Agent 6101 CENTRAL AVENUE, ST. PETERSBURG, FL, 33710

President

Name Role Address
BROWN MATTHEW President 7777 131ST ST N, SEMINOLE, FL, 33776

Fictitious Names

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

Events

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