| Entity Name: | CANCER SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jun 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 24 Jul 2024 (6 months ago) |
| Document Number: | L12000080499 |
| FEI/EIN Number | 45-5523028 |
| Address: | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 |
| Mail Address: | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881389088 | 2023-04-05 | 2023-04-18 | 7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL, 322566932, US | 700 3RD ST STE 302, NEPTUNE BEACH, FL, 322665082, US | |||||||||||||||||||||||
|
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| Phone | +1 904-363-2113 |
| Fax | 9043632606 |
| Phone | +1 904-997-3800 |
| Fax | 9049973899 |
Authorized person
| Name | ROBERT J PHELAN |
| Role | CEO |
| Phone | 9043632113 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PHELAN, ROBERT J | Agent | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Marc, A Warmuth, Dr. | President | 121 Whitehall Drive, St. Augustine, FL 32086 |
| Name | Role | Address |
|---|---|---|
| Marc, A Warmuth, Dr. | Manager | 121 Whitehall Drive, St. Augustine, FL 32086 |
| Ayed, Ayed O, Dr. | Manager | 2 Shircliff Way, Suite 800 Jacksonville, FL 32204 |
| Vance, Waseet Z, Dr. | Manager | 7015 A.C. Skinner Parkway, Building 100 Jacksonville, FL 32256 |
| Jalima, Trank | Manager | 1 Shircliff Way, Jacksonville, FL 32204 |
| Thomas, Roxanne | Manager | 1545 Airport Boulevard, Pensacola, FL 32504 |
| Name | Role | Address |
|---|---|---|
| Vance, Waseet Z, Dr. | Secretary | 7015 A.C. Skinner Parkway, Building 100 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Phelan, Robert J | Chief Executive Officer | 7015 A.C. Skinner Parkway, Suite 1 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Barton, Christian | Chief Financial Officer | 7015 A.C. Skinner Parkway, Suite 1 Jacksonville, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000096177 | ICON PHARMACY | EXPIRED | 2013-10-02 | 2018-12-31 | No data | 9143 PHILIPS HIGHWAY,SUITE 560, JACKSONVILLE, FL, 32256 |
| G12000096175 | CANCER SPECIALISTS OF NORTH FLORIDA | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096176 | CANCER SPECIALISTS | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096183 | CSONF | EXPIRED | 2012-10-02 | 2017-12-31 | No data | 9143 PHILIPS HIGHWAY,SUITE 560, JACKSONVILLE, FL, 32256 |
| G12000096182 | CSNF | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096180 | CANCER SPECIALISTS OF NORTH FLORIDA PHARMACY | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096179 | CANCER SPECIALISTS PHARMACY | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096181 | CANCER SPECIALISTS OF NORTH FLORIDA RESEARCH | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000096178 | CANCER SPECIALISTS RESEARCH | ACTIVE | 2012-10-02 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| G12000082415 | FLORIDA SPECIALTY PHARMACY | ACTIVE | 2012-08-20 | 2027-12-31 | No data | 7015 AC SKINNER PARKWAY, SUITE #1, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-07-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-24 | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-24 | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-07-24 | PHELAN, ROBERT J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-24 | 7751 BELFORT PARKWAY, SUITE 350, JACKSONVILLE, FL 32256 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000809109 | TERMINATED | 1000000688834 | DUVAL | 2015-07-27 | 2025-07-29 | $ 911.91 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-07-24 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
