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BETHEL BLOOD AND CANCER CENTER, P.A.

Company Details

Entity Name: BETHEL BLOOD AND CANCER CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jun 2014 (11 years ago)
Document Number: P14000055391
FEI/EIN Number 47-1203467
Address: 1893 MERLOT DR, SANFORD, FL, 32771
Mail Address: 1893 MERLOT DR, SANFORD, FL, 32771
ZIP code: 32771
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073929402 2014-07-07 2016-08-31 3256 S PINE AVE, STE 303, OCALA, FL, 344716605, US 3256 S PINE AVE, STE 303, OCALA, FL, 344716605, US

Contacts

Phone +1 352-512-0688
Fax 3526228812

Authorized person

Name DANIEL A PATTERSON
Role OWNER
Phone 4077900993

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
PATTERSON DANIEL Agent 1893 MERLOT DR, SANFORD, FL, 32771

President

Name Role Address
Patterson Daniel ADr. President 1893 Merlot Dr, Sanford, FL, 32771

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-11-13 PATTERSON, DANIEL No data
REGISTERED AGENT ADDRESS CHANGED 2023-11-13 1893 MERLOT DR, SANFORD, FL 32771 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
AMENDED ANNUAL REPORT 2023-11-13
Reg. Agent Resignation 2023-03-24
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State