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  5. ROSS CANCER CENTER, LLC

ROSS CANCER CENTER, LLC

Company Details

Entity Name: ROSS CANCER CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 May 2013 (12 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L13000064425
FEI/EIN Number 46-2733083
Address: 339 CYPRESS PARKWAY,, KISSIMMEE, FL, 34759, US
Mail Address: 1121 Oscar Square, CELEBRATION, FL, 34747, US
ZIP code: 34759
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932546314 2013-05-27 2013-05-27 508 GOLFPARK DR, CELEBRATION, FL, 347474626, US 339 CYPRESS PKWY, SUITE 110, KISSIMMEE, FL, 347593302, US

Contacts
Phone +1 407-566-8727

Authorized person
Name MR. GREGORY ROSS
Role VICE PRESIDENT
Phone 4075668727

Taxonomy
Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSS CANCER CENTER 401K & PROFIT SHARING 2017 462733083 2018-07-20 ROSS CANCER CENTER LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing PAULA R ALIVIO
Valid signature Filed with authorized/valid electronic signature
ROSS CANCER CENTER 401K & PROFIT SHARING 2017 462733083 2018-07-16 ROSS CANCER CENTER LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing PAULA R ALIVIO
Valid signature Filed with authorized/valid electronic signature
ROSS CANCER CENTER 401K & PROFIT SHARING 2016 462733083 2017-10-12 ROSS CANCER CENTER LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621410
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing PAULA ALIVIO
Valid signature Filed with authorized/valid electronic signature
ROSS CANCER CENTER 401K & PROFIT SHARING 2015 462733083 2017-10-12 ROSS CANCER CENTER LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing PAULA ALIVIO
Valid signature Filed with authorized/valid electronic signature
ROSS CANCER CENTER 401K & PROFIT SHARING 2015 462733083 2017-12-05 ROSS CANCER CENTER LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2017-12-05
Name of individual signing PAULA ALIVIO
Valid signature Filed with authorized/valid electronic signature
ROSS CANCER CENTER 401K & PROFIT SHARING 2015 462733083 2017-12-06 ROSS CANCER CENTER LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8633256201
Plan sponsor’s address 339 CYPRESS PKWY SUITE 180, KISSIMMEE, FL, 34759

Signature of
Role Plan administrator
Date 2017-12-06
Name of individual signing PAULA ALIVIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

Manager

Name Role Address
ROSS SUSAN MD Manager 1121 Oscar Square, CELEBRATION, FL, 34747
ALIVIO PAULA Manager 1857 WOODPOINTE DR, WINTER HAVEN, FL, 33884

Secretary

Name Role Address
ROSS SUSAN MD Secretary 1121 Oscar Square, CELEBRATION, FL, 34747

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000121311 HEARTLAND CANCER SPECIALISTS EXPIRED 2015-12-02 2020-12-31 No data PO BOX 1740, EAGLE LAKE, FL, 33839
G14000111580 ROSS CANCER CENTER EXPIRED 2014-11-05 2019-12-31 No data 40107 HIGHWAY 27 N, DAVENPORT, FL, 33837-5901
G14000111581 ROSS CANCER CENTER EXPIRED 2014-11-05 2019-12-31 No data 2 STATE RD 60 W, LAKE WALES, FL, 33853-4118
G14000111583 ROSS CANCER CENTER EXPIRED 2014-11-05 2019-12-31 No data 1255 STATE RD 60 E SUITE 300, LAKE WALES, FL, 33853-4310
G14000111585 ROSS CANCER CENTER EXPIRED 2014-11-05 2019-12-31 No data 131 PATTERSON RD, HAINES CITY, FL, 33844-7803

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
CHANGE OF MAILING ADDRESS 2016-04-29 339 CYPRESS PARKWAY,, SUITE 180, KISSIMMEE, FL 34759 No data
CHANGE OF PRINCIPAL ADDRESS 2014-02-24 339 CYPRESS PARKWAY,, SUITE 180, KISSIMMEE, FL 34759 No data

Documents

Name Date
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-01-07
AMENDED ANNUAL REPORT 2014-11-05
ANNUAL REPORT 2014-01-02
Florida Limited Liability 2013-05-01

Related by officers

ALIVIO PAULA

FLORIDA SKILLED THERAPY SERVICES, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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