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KURUVILLA ONCOLOGY, LLC - Florida Company Profile

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Company Details

Entity Name: KURUVILLA ONCOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 May 2017 (8 years ago)
Document Number: L17000095641
FEI/EIN Number 82-2194166
Address: 600 ZEAGLER DRIVE, SUITE 2, PALATKA, FL, 32177
Mail Address: 600 ZEAGLER DRIVE, SUITE 2, PALATKA, FL, 32177
ZIP code: 32177
City: Palatka
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KURUVILLA ANAND MM.D. President 600 ZEAGLER DRIVE, PALATKA, FL, 32177
KURUVILLA SHEILA M Vice President 600 ZEAGLER DRIVE, PALATKA, FL, 32177
KURUVILLA SHEILA M President 600 ZEAGLER DRIVE, PALATKA, FL, 32177
KURUVILLA ANAND MMD Agent 600 ZEAGLER DRIVE, PALATKA, FL, 32177

National Provider Identifier

NPI Number:
1881435030
Certification Date:
2024-07-31

Authorized Person:

Name:
ANAND M KURUVILLA
Role:
PRESIDENT AND CEO
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
9043500032

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-05 KURUVILLA, ANAND M, MD -
REGISTERED AGENT ADDRESS CHANGED 2021-01-05 600 ZEAGLER DRIVE, SUITE 2, PALATKA, FL 32177 -

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-03-01
ANNUAL REPORT 2019-01-19
ANNUAL REPORT 2018-04-07
Florida Limited Liability 2017-05-01

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Date of last update: 01 Jul 2025

Sources: Florida Department of State