| Entity Name: | GULF REGION RADIATION ONCOLOGY CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 26 Jul 2007 (18 years ago) |
| Date of dissolution: | 30 Jun 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Jun 2015 (10 years ago) |
| Document Number: | N07000007383 |
| FEI/EIN Number | 260623827 |
| Address: | 1545 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL, 32504 |
| Mail Address: | 1545 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL, 32504 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285042036 | 2014-07-24 | 2014-07-24 | 1545 AIRPORT BLVD STE 1000, PENSACOLA, FL, 325048615, US | 1545 AIRPORT BLVD STE 1000, PENSACOLA, FL, 325048615, US | |||||||||||||||||||
|
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| Phone | +1 850-416-1791 |
Authorized person
| Name | MS. TANIA LYNN ADAMS |
| Role | ADMINISTRATOR |
| Phone | 8504161791 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280159100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Smith Teresa D | Agent | 1545 Airport Blvd Suite 1000, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| Geitz Charles E | President | 1545 AIRPORT BLVD, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| MURRAY JENNIFER | mgr | 8333 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32514 |
| Name | Role | Address |
|---|---|---|
| POPPLE ANDY | Manager | 8333 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32514 |
| Stovall Henry | Manager | 1545 AIRPORT BLVD, PENSACOLA, FL, 32504 |
| Davis Kimberly E | Manager | 8333 North Davis Hwy, Pensacola, FL, 32514 |
| Name | Role | Address |
|---|---|---|
| SMITH TERESA | Vice President | 1545 Airport Blvd Suite 1000, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-06-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-12 | Smith, Teresa D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-15 | 1545 Airport Blvd Suite 1000, PENSACOLA, FL 32504 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-04 | 1545 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-04 | 1545 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-06-30 |
| ANNUAL REPORT | 2015-03-12 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-02-15 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-03-04 |
| ANNUAL REPORT | 2009-01-21 |
| ANNUAL REPORT | 2008-04-30 |
| Domestic Non-Profit | 2007-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
