HEALTH IMAGING NETWORK LLC
Radiology at Executive Park Dr, Fort Lauderdale, FL

License number
Florida HCC7055
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: ANAYS COLLAZO
Title: V. PRESIDENT
Phone: (954) 217-7674
Address
Address
2625 Executive Park Dr SUITE ONE, Fort Lauderdale, FL 33331
National Provider ID: 1235269671
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEALTH IMAGING NETWORK, LLC

2625 Executive Park Dr SUITE 1, Fort Lauderdale, FL 33331

Status:
Inactive
Doing business as:
Health Imaging Network of Florida, LLC
Inactive reason:
LC AMENDMENT
Registration:
Jun 11, 1999
Inactive since:
Nov 15, 2012
State ID:
L99000003382
Business type:
Florida Limited Liability Company
Managing Members:
Simon Sankin (Managing Member), 2625 Executive Park Dr SUITE 1, Fort Lauderdale, FL 33331 (Physical),Anays Collazo (Managing Member), 2625 Executive Park Dr STE 1, Fort Lauderdale, FL 33331 (Physical),David J. Fernandez President, inactive,...
Agent:
Sankin, Simon,2625 Executive Park Dr SUITE 1, Fort Lauderdale, FL 33331 (Physical)
EIN:
593608657

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