| Entity Name: | AVENUES CANCER CARE INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Mar 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Mar 2022 (3 years ago) |
| Document Number: | L11000033268 |
| FEI/EIN Number | 45-0705233 |
| Address: | 6144 GAZEBO PARK PLACE SOUTH, SUITE 104, JACKSONVILLE, FL 32257 |
| Mail Address: | 6144 GAZEBO PARK PLACE SOUTH, SUITE 104, JACKSONVILLE, FL 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023308806 | 2011-04-13 | 2012-03-26 | PO BOX 57946, JACKSONVILLE, FL, 322417946, US | 6144 GAZEBO PARK PL S, SUITE 211, JACKSONVILLE, FL, 322571099, US | |||||||||||||||||
|
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| Phone | +1 904-651-9895 |
Authorized person
| Name | DR. CARLOS A. OTEYZA |
| Role | MEDICAL DIRECTOR |
| Phone | 9045513122 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME0043663 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRIGALTCHIK, DAVID P | Agent | 6144 GAZEBO PARK PLACE SOUTH, SUITE 103, JACKSONVILLE, FL 32257 |
| Name | Role | Address |
|---|---|---|
| OTEYZA, STEVE ALLAN | Manager | 415 PORPOISE POINT DR, ST AUGUSTINE, FL 32084 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000115815 | THE KNEE CENTER | EXPIRED | 2011-12-01 | 2016-12-31 | No data | 6144 GAZEBO PARK PLACE SOUTH, SUITE 215, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-09 | GRIGALTCHIK, DAVID P | No data |
| REINSTATEMENT | 2022-03-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-16 | 6144 GAZEBO PARK PLACE SOUTH, SUITE 103, JACKSONVILLE, FL 32257 | No data |
| LC STMNT OF RA/RO CHG | 2019-08-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-26 | 6144 GAZEBO PARK PLACE SOUTH, SUITE 104, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-26 | 6144 GAZEBO PARK PLACE SOUTH, SUITE 104, JACKSONVILLE, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| REINSTATEMENT | 2022-03-09 |
| ANNUAL REPORT | 2020-03-22 |
| CORLCRACHG | 2019-08-16 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
