Entity Name: | THE RADIATION ONCOLOGY GROUP, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 31 Jan 1985 (40 years ago) |
Date of dissolution: | 26 Sep 2014 (10 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (10 years ago) |
Document Number: | H40825 |
FEI/EIN Number | 59-2485095 |
Address: | 4685 S CONGRESS AVE, LAKE WORTH, FL 33461 |
Mail Address: | 4685 S CONGRESS AVE, LAKE WORTH, FL 33461 |
ZIP code: | 33461 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952303927 | 2005-08-10 | 2012-03-29 | 4685 S CONGRESS AVE, FIRST FLOOR, LAKE WORTH, FL, 334614710, US | 4685 S CONGRESS AVE, FIRST FLOOR, LAKE WORTH, FL, 334614710, US | |||||||||||||||||||||
|
Phone | +1 561-964-2662 |
Fax | 5615481635 |
Authorized person
Name | JEROME J. SPUNBERG |
Role | PRESIDENT |
Phone | 5619642662 |
Taxonomy
Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 371397100 |
State | FL |
Name | Role | Address |
---|---|---|
SPUNBERG, JEROME J. | Agent | 4685 SOUTH CONGRESS AVE, LAKE WORTH, FL 33461 |
Name | Role | Address |
---|---|---|
SPUNBERG, JEROME J., M.D | Director | 4685 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33461 |
Name | Role | Address |
---|---|---|
SPUNBERG, JEROME J., M.D | President | 4685 SOUTH CONGRESS AVENUE, ATLANTIS, FL 33461 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-01-06 | 4685 S CONGRESS AVE, LAKE WORTH, FL 33461 | No data |
CHANGE OF MAILING ADDRESS | 2008-01-06 | 4685 S CONGRESS AVE, LAKE WORTH, FL 33461 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2001-01-17 | 4685 SOUTH CONGRESS AVE, LAKE WORTH, FL 33461 | No data |
NAME CHANGE AMENDMENT | 1989-06-13 | THE RADIATION ONCOLOGY GROUP, P.A. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2013-01-08 |
ANNUAL REPORT | 2012-01-03 |
ANNUAL REPORT | 2011-01-04 |
ANNUAL REPORT | 2010-01-04 |
ANNUAL REPORT | 2009-01-15 |
ANNUAL REPORT | 2008-01-06 |
ANNUAL REPORT | 2007-02-02 |
ANNUAL REPORT | 2006-04-28 |
ANNUAL REPORT | 2005-01-07 |
ANNUAL REPORT | 2004-02-12 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State