| Entity Name: | TAMPA BAY ONCOLOGY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Aug 2000 (25 years ago) |
| Document Number: | P00000074295 |
| FEI/EIN Number | 593662976 |
| Address: | 1835 INDIAN ROCKS ROAD, LARGO, FL, 33774 |
| Mail Address: | 1835 INDIAN ROCKS ROAD, LARGO, FL, 33774 |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881653996 | 2006-03-20 | 2023-03-21 | 1835 INDIAN ROCKS RD S, LARGO, FL, 337741030, US | 1835 INDIAN ROCKS RD S, LARGO, FL, 337741030, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 727-586-2273 |
| Fax | 7275845966 |
Authorized person
| Name | NICHOLAS MASON |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7275862273 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | HCC4434 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 260059500 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | CH4766 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MASON NICHOLAS | Agent | 1835 INDIAN ROCKS ROAD, LARGO, FL, 33774 |
| Name | Role | Address |
|---|---|---|
| MASON NICHOLAS | President | 1835 INDIAN ROCKS ROAD, LARGO, FL, 33774 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000038752 | *INSTITUTE | ACTIVE | 2023-03-24 | 2028-12-31 | No data | 1835 INDIAN ROCKS RD S, LARGO, FL, 33774 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2003-02-10 | MASON, NICHOLAS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
