| Entity Name: | FLORIDA ONCOLOGY TAVARES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2014 (10 years ago) |
| Last Event: | LC AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 24 Feb 2015 (10 years ago) |
| Document Number: | L14000181896 |
| FEI/EIN Number | 47-2779617 |
| Address: | 2010 Nightingale Lane, Tavares, FL, 32778, US |
| Mail Address: | 2010 Nightinglae Lane, Tavares, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629461371 | 2015-03-05 | 2015-10-29 | 2010 NIGHTINGALE LANE, TAVARES, FL, 327784361, US | 2010 NIGHTINGALE LN, TAVARES, FL, 327784361, US | |||||||||||||||||
|
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| Phone | +1 352-742-3045 |
Authorized person
| Name | DR. DAVID DIAMOND |
| Role | MGRM |
| Phone | 3527423045 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| License Number | ME78350 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Brabham Jeffrey GMD | Agent | 2010 Nightingale Lane, Tavares, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| DIAMOND DAVID AMD | Auth | 2010 Nightingale Lane, Tavares, FL, 32778 |
| BRABHAM JEFFREY GMD | Auth | 2010 Nightingale Lane, Tavares, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-18 | 2010 Nightingale Lane, Tavares, FL 32778 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-18 | 2010 Nightingale Lane, Tavares, FL 32778 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-18 | Brabham, Jeffrey G., MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-18 | 2010 Nightingale Lane, Tavares, FL 32778 | No data |
| LC AMENDED AND RESTATED ARTICLES | 2015-02-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-18 |
| LC Amended and Restated Art | 2015-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
