| Entity Name: | NORTH FLORIDA RADIATION ONCOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 May 2006 (19 years ago) |
| Document Number: | M06000002651 |
| FEI/EIN Number | 86-1167790 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Mail Address: | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN 37203 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659003648 | 2022-06-28 | 2024-09-24 | 795 SW STATE ROAD 47, LAKE CITY, FL, 320250453, US | 795 SW STATE ROAD 47, LAKE CITY, FL, 320250453, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 386-758-7822 |
| Fax | 3867582224 |
Authorized person
| Name | LINDA TURNER |
| Role | DIRECTOR |
| Phone | 3523335850 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276396601 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| RADIATION ONCOLOGY MANAGER, LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000147329 | NORTH FLORIDA RADIATION ONCOLOGY | EXPIRED | 2009-08-19 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-16 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-16 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-26 |
| 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 | 2017-04-22 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
