| Entity Name: | ORLANDO CANCER CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Feb 1990 (35 years ago) |
| Date of dissolution: | 19 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Apr 2023 (2 years ago) |
| Document Number: | N36827 |
| FEI/EIN Number |
593005020
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1414 KUHL AVENUE, MP 2, ORLANDO, FL, 32806, US |
| Address: | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578510582 | 2006-05-27 | 2013-10-02 | 1400 S ORANGE AVE, ORLANDO, FL, 328062134, US | 1400 S ORANGE AVE, ORLANDO, FL, 328062134, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-648-3800 |
| Fax | 4074255203 |
Authorized person
| Name | MARK ROH |
| Role | PRESIDENT/CEO |
| Phone | 4076483800 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 207RX0202X - Medical Oncology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207VX0201X - Gynecologic Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051326100 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 00235 |
| State | FL |
| Issuer | TRICARE |
| Number | 007 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAKIM JAMAL M | Director | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806 |
| SPONG BERNADETTE | Director | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806 |
| DESAI SUNIL SMD | Director | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806 |
| TAYLOR MATTHEW | Auth | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806 |
| MILLER JOHN E | Auth | 1414 Kuhl Ave., MP 2, ORLANDO, FL, 32806 |
| Zika Ryan ESQ | Agent | 207 W. Gore St., Suite 201, Orlando, FL, 32806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000075793 | ORLANDO HEALTH UF HEALTH CANCER CENTER PHYSICIAN GROUP | EXPIRED | 2017-07-14 | 2022-12-31 | - | 1414 KUHL AVE., MP2, ORLANDO, FL, 32806 |
| G14000003675 | UF HEALTH CANCER CENTER ORLANDO HEALTH PHYSICIAN GROUP | EXPIRED | 2014-01-10 | 2019-12-31 | - | 1414 KUHL AVE., MP2, ORLANDO, FL, 32806 |
| G14000003676 | UF HEALTH CANCER CENTER AT ORLANDO HEALTH PHYSICIAN GROUP | EXPIRED | 2014-01-10 | 2019-12-31 | - | 1414 KUHL AVE., MP2, ORLANDO, FL, 32806 |
| G12000031714 | MD ANDERSON CANCER CENTER ORLANDO PHYSICIAN GROUP | EXPIRED | 2012-04-02 | 2017-12-31 | - | 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806 |
| G11000117258 | MD ANDERSON CANCER CENTER ORLANDO | EXPIRED | 2011-12-05 | 2016-12-31 | - | 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806 |
| G11000019617 | ORLANDO HEALTH NUCLEAR MEDICINE PHYSICIANS | EXPIRED | 2011-02-22 | 2016-12-31 | - | 1400 S. ORANGE AVENUE, SUITE 113, ORLANDO, FL, 32806 |
| G11000019620 | ORLANDO HEALTH NUCLEAR MEDICINE PHYSICIANS SERVICES | EXPIRED | 2011-02-22 | 2016-12-31 | - | 1400 S. ORANGE AVENUE, SUITE 113, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-19 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-06 | 207 W. Gore St., Suite 201, Orlando, FL 32806 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-05 | 1414 Kuhl Ave., MP 2, ORLANDO, FL 32806 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-05 | 1414 Kuhl Ave., MP 2, ORLANDO, FL 32806 | - |
| AMENDED AND RESTATEDARTICLES | 2020-02-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Zika, Ryan, ESQ | - |
| RESTATED ARTICLES | 1997-03-31 | - | - |
| AMENDMENT | 1990-05-29 | - | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2023-04-19 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-05 |
| Amended and Restated Articles | 2020-02-18 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
