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NORTH FLORIDA CANCER CENTER LAKE CITY, LLC - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA CANCER CENTER LAKE CITY, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Jan 2005 (20 years ago)
Document Number: M05000000121
FEI/EIN Number 522448736

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203, US
Mail Address: ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
Foster Jon M Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
HAZEN SAMUEL N Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN, 37203

National Provider Identifier

NPI Number:
1902893902
Link:
View on NPI website

Authorized Person:

Name:
JOAN R GLADNEY
Role:
REGIONAL DIRECTOR
Phone:
3524746190

Taxonomy:

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

Contacts:

Phone:
+1 386-758-7822
Fax:
3867582224

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000110261 THE CANCER CENTER AT LAKE CITY ACTIVE 2010-12-03 2025-12-31 - ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-08-11 ONE PARK PLAZA, NASHVILLE, TN 37203 -
CHANGE OF PRINCIPAL ADDRESS 2006-04-24 ONE PARK PLAZA, NASHVILLE, TN 37203 -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-21

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ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203, US

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Date of last update: 01 Jun 2025

Sources: Florida Department of State

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