PEMBROKE PINES MRI
Medical Practice in Fort Lauderdale, FL

License number
Florida 2280
Issued Date
Dec 16, 2002
Effective Date
Jan 11, 2005
Expiration Date
Dec 16, 2004
Category
Health Care
Type
Health Care Clinic Registration
Address
Address 2
PO Box 5084, Fort Lauderdale, FL 33310
10800 Pines Blvd SUITE 12, Hollywood, FL 33026
Phone
(954) 430-2044
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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PEMBROKE PINES MRI, INC

Hollywood, FL  -  Ft Lauderdale, FL

Industry:
Medical Doctor's Office
Registration:
Aug 3, 2001
Phone:
(954) 566-4551 (Phone), (954) 430-2044 (Phone)
Addresses:
10950 Pne Blvd, Hollywood, FL 33026 (Physical)
Ft Lauderdale, FL 33310 (Mailing)
PO Box 5206, Ft Lauderdale, FL 33310
State ID:
P01000076789
Business type:
Florida Profit Corporation
Presidents:
Howard Dekkers (CEO, Chairman), 1799 W Oakland Park Blvd #200, Ft Lauderdale, FL 33311 (Physical),Cluade Hanuschak (President), 1799 Oakland Park Blvd #200, Ft Lauderdale, FL 33311 (Physical)
Agent:
Nrai Services, Inc,1200 S Pne Is Rd, Ft Lauderdale, FL 33324 (Physical)
EIN:
65-1129341

Pembroke Pines Mri Inc

1799 W Oakland Park Blvd STE 200, Oakland Park, FL 33311

Categories:
Medical Diagnostic Clinics, Medical Imaging, Medical Laboratories
Phone:
(954) 566-4551 (Phone)

PEMBROKE PINES MRI AND IMAGING LLC

330 S Flamingo Rd, Hollywood, FL 33027

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Feb 16, 2010
Inactive since:
Sep 23, 2011
State ID:
L10000017501
Business type:
Florida Limited Liability Company
Managers:
Francisco Martinez (Manager),Kathleen Effenson Managing Member, inactive, 330 S Flamingo Rd, Hollywood, FL 33027 (Physical),Victor C. Basile Manager, inactive
Agent:
Lewis, Ronald,445 E Palmetto Park Rd, Boca Raton, FL 33432 (Physical)
EIN:
NO-NE

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