| Entity Name: | CLEARWATER RADIATION ONCOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Mar 2022 (3 years ago) |
| Document Number: | L22000099844 |
| FEI/EIN Number | 88-1165381 |
| Address: | 3280 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 |
| Mail Address: | 3280 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578290284 | 2022-08-03 | 2023-01-26 | PO BOX 394, OLDSMAR, FL, 346770394, US | 3280 N MCMULLEN BOOTH RD STE 150, CLEARWATER, FL, 337612046, US | |||||||||||||||
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| Phone | +1 727-966-4673 |
| Fax | 7276085464 |
Authorized person
| Name | DR. HIRAL K SHAH |
| Role | OWNER |
| Phone | 7279664673 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLEARWATER RADIATION ONCOLOGY, LLC 401(K) PLAN | 2023 | 881165381 | 2024-10-14 | CLEARWATER RADIATION ONCOLOGY, LLC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HIRAL K. SHAH, M.D. | Agent | 3280 N MCMULLEN BOOTH RD, Ste 150, CLEARWATER, FL 33761 |
| Name | Role | Address |
|---|---|---|
| HIRAL K. SHAH, M.D. | AREP | 3280 N MCMULLEN BOOTH RD, Ste 150 CLEARWATER, FL 33761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000017417 | RADIATION & ONCOLOGY CLEARWATER | ACTIVE | 2023-02-06 | 2028-12-31 | No data | 3280 MCMULLEN BOOTH RD, STE 150, CLEARWATER, FL, 33761 |
| G23000017424 | RADIATION AND ONCOLOGY CLEARWATER | ACTIVE | 2023-02-06 | 2028-12-31 | No data | 3280 MCMULLEN BOOTH RD, STE 150, CLEARWATER, FL, 33761 |
| G22000069348 | CLEARWATER RADIATION ONCOLOGY | ACTIVE | 2022-06-07 | 2027-12-31 | No data | 3905 TAMPA RD SUITE 394, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-12 | 3280 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-12 | 3280 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-12 | 3280 N MCMULLEN BOOTH RD, Ste 150, CLEARWATER, FL 33761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-23 |
| Florida Limited Liability | 2022-03-10 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
