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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GONZALEZ SAMUEL ADR | Agent | 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759 |
Name | Role | Address |
---|---|---|
GONZALEZ SAMUEL A | President | 3725 WEST FLAGER ST, APT 283, MIAMI, FL, 33134 |
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 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-22 |
Domestic Profit | 2023-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State