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INTEGRATIVE CANCER CLINICS OF FLORIDA INC

Company Details

Entity Name: INTEGRATIVE CANCER CLINICS OF FLORIDA INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Apr 2023 (2 years ago)
Document Number: P23000032410
FEI/EIN Number 92-3668488
Address: 3725 WEST FLAGER ST, APT 283, MIAMI, FL, 33134, US
Mail Address: 3725 WEST FLAGER ST, APT 283, MIAMI, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770273203 2023-05-09 2023-05-09 PO BOX 580250, KISSIMMEE, FL, 347580004, US 339 CYPRESS PKWY STE 110, KISSIMMEE, FL, 347593315, US

Contacts

Phone +1 407-576-7762

Authorized person

Name DR. SAMUEL GONZALEZ
Role CEO/MD
Phone 7876322169

Taxonomy

Taxonomy Code 261QX0200X - Oncology Clinic/Center
Is Primary Yes

Agent

Name Role Address
GONZALEZ SAMUEL ADR Agent 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759

President

Name Role Address
GONZALEZ SAMUEL A President 3725 WEST FLAGER ST, APT 283, MIAMI, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-08 3725 WEST FLAGER ST, APT 283, MIAMI, FL 33134 No data
CHANGE OF MAILING ADDRESS 2024-10-08 3725 WEST FLAGER ST, APT 283, MIAMI, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
Domestic Profit 2023-04-24

Date of last update: 01 Feb 2025

Sources: Florida Department of State