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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HAYES, CHERYLLE A | Agent | 4437 S.W. 91ST DRIVE, GAINESVILLE,, FL 32608 |
Name | Role | Address |
---|---|---|
GROW, ALLISON | Secretary | 4437 SW 91st Drive, GAINESVILLE, FL 32608 |
Name | Role | Address |
---|---|---|
GROW, ALLISON | Treasurer | 4437 SW 91st Drive, GAINESVILLE, FL 32608 |
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 |
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