| Entity Name: | ONCOLOGY SPECIALISTS OF THE PALM BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Dec 2018 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000284932 |
| FEI/EIN Number | 65-0580501 |
| Address: | 5401 S. CONGRESS AVENUE, SUITE 105, LAKE WORTH, FL 33462 |
| Mail Address: | 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL 33463 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376014571 | 2018-12-16 | 2018-12-16 | 5700 LAKE WORTH RD STE 204, GREENACRES, FL, 334633213, US | 5401 S CONGRESS AVE STE 105, ATLANTIS, FL, 334626636, US | |||||||||||||||||||
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| Phone | +1 561-966-7707 |
| Fax | 8883162198 |
| Phone | +1 561-740-0545 |
| Fax | 5617400262 |
Authorized person
| Name | NANCY NALLEY |
| Role | EHR ANALYST |
| Phone | 5619667707 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATERS, CASEY | Agent | 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| HERON, JAMES | Manager | 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL 33462 |
| LIN, PAUL | Manager | 5401 SOUTH CONGRESS AVE, SUITE 105, LAKE WORTH, FL 33463 |
| WATERS, CASEY | Manager | 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-20 |
| Florida Limited Liability | 2018-12-11 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
