| Entity Name: | PREMIER RADIATION ONCOLOGY ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2020 (5 years ago) |
| Document Number: | L20000063937 |
| FEI/EIN Number | 84-4861779 |
| Address: | 3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 |
| Mail Address: | 3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306471552 | 2020-03-09 | 2020-09-28 | 3155 N MCMULLEN BOOTH RD, CLEARWATER, FL, 337612008, US | 3155 N MCMULLEN BOOTH RD, CLEARWATER, FL, 337612008, US | |||||||||||||||||||
|
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| Phone | +1 727-669-9018 |
| Fax | 7276694308 |
Authorized person
| Name | AUBRAE RUSSOLELLO |
| Role | OFFICE MANAGER |
| Phone | 7276699018 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GASSMAN, ALAN S | Agent | 1245 COURT STREET, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| GAUWITZ, MICHAEL D | Manager | 3155 N MCMULLEN BOOTH ROAD, CLEARWATER, FL 33761 |
| ATLOOS, TAGHRID A | Manager | 3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000031980 | CLEARWATER PREMIER RADIATION ONCOLOGY | ACTIVE | 2023-03-09 | 2028-12-31 | No data | 3155 MCMULLEN BOOTH ROAD, CLEARWATER, FL, 33761 |
| G20000061586 | COUNTRYSIDE CANCER CENTER | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 3155 MCMULLEN BOORTH ROAD, CLEARWATER, FL, 33761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-01-09 |
| Florida Limited Liability | 2020-02-28 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
