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INTEGRATIVE CANCER THERAPEUTICS, LLC

Company Details

Entity Name: INTEGRATIVE CANCER THERAPEUTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Feb 2014 (11 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 07 Dec 2016 (8 years ago)
Document Number: L14000019049
FEI/EIN Number 46-4727646
Address: 6100 Glades Rd, STE 304, BOCA RATON, FL 33434
Mail Address: 6100 Glades Rd, STE 304, BOCA RATON, FL 33434
ZIP code: 33434
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083033559 2014-04-14 2018-09-14 4800 N FEDERAL HWY, SUITE B306, BOCA RATON, FL, 334315188, US 4800 N. FEDERAL HWY., SUITE B300, BOCA RATON, FL, 334313409, US

Contacts

Phone +1 561-886-0976
Fax 5613677388

Authorized person

Name MS. SHAN NICOLE LEZARK
Role PRACTICE MANAGER
Phone 5618860976

Taxonomy

Taxonomy Code 261QX0200X - Oncology Clinic/Center
License Number ME70312
State FL
Is Primary Yes

Agent

Name Role Address
ROSENBERG, MARK Agent 6100 Glades Rd, STE 304, BOCA RATON, FL 33434

Manager

Name Role
ADVANCED MEDICAL THERAPEUTICS, LLC Manager

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-02-18 6100 Glades Rd, STE 304, BOCA RATON, FL 33434 No data
CHANGE OF PRINCIPAL ADDRESS 2020-12-29 6100 Glades Rd, STE 304, BOCA RATON, FL 33434 No data
CHANGE OF MAILING ADDRESS 2020-12-29 6100 Glades Rd, STE 304, BOCA RATON, FL 33434 No data
LC DISSOCIATION MEM 2016-12-07 No data No data
LC AMENDMENT 2014-12-02 No data No data
LC AMENDMENT 2014-11-03 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-03-20
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-04-19
CORLCDSMEM 2016-12-07
AMENDED ANNUAL REPORT 2016-11-02

Date of last update: 22 Jan 2025

Sources: Florida Department of State