| Entity Name: | ADVANCED RADIATION ONCOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Mar 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P04000044457 |
| FEI/EIN Number | 200862718 |
| Address: | 404 Savoie Drive, Palm Beach Gardens, FL, 33410, US |
| Mail Address: | PO BOX 2760, JUPITER, FL, 33468-2760 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053345181 | 2006-07-11 | 2009-12-17 | PO BOX 2760, JUPITER, FL, 334682760, US | 1240 S OLD DIXIE HWY, JUPITER, FL, 334587205, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 561-744-4400 |
| Fax | 5617447408 |
Authorized person
| Name | DAVID M HEROLD |
| Role | PRESIDENT |
| Phone | 5617444400 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271569400 |
| State | FL |
| Issuer | BCBS |
| Number | 74711 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HEROLD DAVID | Agent | 404 Savoie Drive, Palm Beach Gardens, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| HEROLD DAVID | President | PO BOX 2760, JUPITER, FL, 334682760 |
| Name | Role | Address |
|---|---|---|
| KANSKI JEFFREY | Vice President | PO BOX 2760, JUPITER, FL, 334682760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-09 | 404 Savoie Drive, Palm Beach Gardens, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-09 | 404 Savoie Drive, Palm Beach Gardens, FL 33410 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-10 | HEROLD, DAVID | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-02-10 |
| ANNUAL REPORT | 2009-01-17 |
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-02-05 |
| ANNUAL REPORT | 2006-07-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
