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  5. WELL SPRING CANCER CENTER, LLC

WELL SPRING CANCER CENTER, LLC

Company Details

Entity Name: WELL SPRING CANCER CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Mar 2007 (18 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 28 Aug 2014 (10 years ago)
Document Number: L07000032305
FEI/EIN Number 208734686
Address: 6600 66TH STREET N, PINELLAS PARK, FL, 33781
Mail Address: 6600 66TH STREET N, PINELLAS PARK, FL, 33781
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417134297 2008-01-24 2008-04-20 6600 66TH ST, PINELLAS PARK, FL, 337815032, US 6600 66TH ST, PINELLAS PARK, FL, 337815032, US

Contacts
Phone +1 727-343-0600

Authorized person
Name DR. ROBERT J MILLER
Role MANAGING PARTNER
Phone 7273430600

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELLSPRING CANCER CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 208734686 2024-07-24 WELL SPRING CANCER CENTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621111
Sponsor’s telephone number 7273430600
Plan sponsor’s DBA name WELL SPRING ONCOLOGY
Plan sponsor’s address 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781
WELLSPRING CANCER CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 208734686 2023-06-12 WELL SPRING CANCER CENTER, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621111
Sponsor’s telephone number 7273430600
Plan sponsor’s DBA name WELL SPRING ONCOLOGY
Plan sponsor’s address 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781
WELLSPRING CANCER CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 208734686 2022-06-28 WELL SPRING CANCER CENTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621111
Sponsor’s telephone number 7273430600
Plan sponsor’s DBA name WELL SPRING ONCOLOGY
Plan sponsor’s address 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781
WELLSPRING CANCER CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 208734686 2021-07-16 WELL SPRING CANCER CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621111
Sponsor’s telephone number 7273430600
Plan sponsor’s DBA name WELL SPRING ONCOLOGY
Plan sponsor’s address 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781
WELLSPRING CANCER CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 208734686 2020-06-12 WELL SPRING CANCER CENTER, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621111
Sponsor’s telephone number 7273430600
Plan sponsor’s DBA name WELL SPRING ONCOLOGY
Plan sponsor’s address 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781

Agent

Name Role Address
Bloom David AMD, Phd Agent 6600 66TH STREET N, PINELLAS PARK, FL, 33781

Manager

Name Role Address
Bloom David AMD, Phd Manager 6600 66TH STREET N, ST. PETERSBURG, FL, 33781

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000037293 WELLSPRING CANCER CENTER LLC EXPIRED 2010-05-14 2015-12-31 No data 6600 66TH STREET N, PINELLAS PARK, FL, 33781
G09000155239 WELLSPRING GIVING TREE EXPIRED 2009-09-14 2014-12-31 No data 6600 66TH STREET NORTH, PINELLAS PARK, FL, 33781

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-09 Bloom, David A, MD, Phd No data
LC NAME CHANGE 2014-08-28 WELL SPRING CANCER CENTER, LLC No data
LC NAME CHANGE 2010-05-12 WELLSPRING CANCER CENTER PLC No data
REGISTERED AGENT ADDRESS CHANGED 2008-07-01 6600 66TH STREET N, PINELLAS PARK, FL 33781 No data
CHANGE OF PRINCIPAL ADDRESS 2008-07-01 6600 66TH STREET N, PINELLAS PARK, FL 33781 No data
LC AMENDMENT AND NAME CHANGE 2008-07-01 WELLSPRING CANCER CENTERK, LLC No data
CHANGE OF MAILING ADDRESS 2008-07-01 6600 66TH STREET N, PINELLAS PARK, FL 33781 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-02-12

Related by officers

Bloom David AMD, Phd

FMS GP, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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