| Entity Name: | INNOVATIVE CANCER INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2007 (18 years ago) |
| Document Number: | L07000003789 |
| FEI/EIN Number | 20-8401637 |
| Address: | 5995 SW 71 STREET, STE 1-B, SOUTH MIAMI, FL 33143 |
| Mail Address: | 270 VELEROS CRT, CORAL GABLES, FL 33143 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558029041 | 2021-12-02 | 2021-12-02 | 5995 SW 71ST ST STE 1-B, SOUTH MIAMI, FL, 331433531, US | 96 W 21ST ST, HIALEAH, FL, 330102614, US | |||||||||||||||
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| Phone | +1 305-669-6833 |
| Fax | 3056664030 |
Authorized person
| Name | MRS. MICHELLE MILAN |
| Role | OFFICE MANAGER |
| Phone | 3056696833 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GELBER, RONALD SCPA | Agent | 11450 INTERCHANGE CIRCLE NORTH, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| AMENDOLA, BEATRIZ M.D. | Manager | 270 VELEROS CRT, CORAL GABLES, FL 33143 |
| AMENDOLA, MARCO M.D. | Manager | 270 VELEROS CRT, CORAL GABLES, FL 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-27 | 5995 SW 71 STREET, STE 1-B, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-16 | GELBER, RONALD SCPA | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-04 | 5995 SW 71 STREET, STE 1-B, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-11-26 | 11450 INTERCHANGE CIRCLE NORTH, MIRAMAR, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
