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NORTH FLORIDA CANCER INSTITUTE, PA

Company Details

Entity Name: NORTH FLORIDA CANCER INSTITUTE, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Dec 2003 (21 years ago)
Document Number: P03000156972
FEI/EIN Number 32-0102699
Address: 6420 NEWBERRY RD, THE CANCER CENTER, GAINESVILLE, FL 32607
Mail Address: 4437 SW 91st Drive, GAINESVILLE, FL 32608
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346435021 2007-09-06 2022-12-08 PO BOX 143067, GAINESVILLE, FL, 326143067, US 6420 W NEWBERRY RD, GAINESVILLE, FL, 326054308, US

Contacts

Phone +1 352-333-5840
Fax 3523335842
Fax 3523335844

Authorized person

Name CHERYLLE A HAYES
Role PHYSICIAN
Phone 3523335840

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary No
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Agent

Name Role Address
HAYES, CHERYLLE A Agent 4437 S.W. 91ST DRIVE, GAINESVILLE,, FL 32608

Secretary

Name Role Address
GROW, ALLISON Secretary 4437 SW 91st Drive, GAINESVILLE, FL 32608

Treasurer

Name Role Address
GROW, ALLISON Treasurer 4437 SW 91st Drive, GAINESVILLE, FL 32608

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-02-23 6420 NEWBERRY RD, THE CANCER CENTER, GAINESVILLE, FL 32607 No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-08 6420 NEWBERRY RD, THE CANCER CENTER, GAINESVILLE, FL 32607 No data
REGISTERED AGENT NAME CHANGED 2010-01-08 HAYES, CHERYLLE A No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-08 4437 S.W. 91ST DRIVE, GAINESVILLE,, FL 32608 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-25
AMENDED ANNUAL REPORT 2015-06-22

Date of last update: 05 Jan 2025

Sources: Florida Department of State