| Entity Name: | CENTRAL FLORIDA OPEN MRI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Apr 1998 (27 years ago) |
| Document Number: | P98000032402 |
| FEI/EIN Number | 650828057 |
| Address: | 2821 U.S. HIGHWAY 27 NORTH, SEBRING, FL, 33870 |
| Mail Address: | 130 MEDICAL CENTER AVE, SEBRING, FL, 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760579411 | 2006-10-06 | 2012-01-13 | 2821 US HWY 27 NORTH, SEBRING, FL, 338701626, US | 2821 US HWY 27 NORTH, SEBRING, FL, 338701626, US | |||||||||||||||||||||||
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| Phone | +1 863-402-0938 |
| Fax | 8634020946 |
Authorized person
| Name | FABIO OLIVEROS |
| Role | PRESIDENT |
| Phone | 8633852606 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 258550200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLIVEROS FABIO | Agent | 130 MEDICAL CENTER AVENUE, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| OLIVEROS FABIO | Director | 130 MEDICAL CENTER AVE, SEBRING, FL, 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-18 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
