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CANCER CARE CENTERS OF BREVARD, INC. - Florida Company Profile

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Company Details

Entity Name: CANCER CARE CENTERS OF BREVARD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Feb 1993 (32 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Nov 2021 (4 years ago)
Document Number: P93000013402
FEI/EIN Number 593169766
Address: 1430 S. PINE ST., MELBOURNE, FL, 32901, US
Mail Address: 1430 S. PINE ST., MELBOURNE, FL, 32901, US
ZIP code: 32901
City: Melbourne
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHANKAR RAVI A Director 1430 S PINE STREET, MELBOURNE, FL, 32901
PANARESE TODD V Vice President 215 CONE ROAD, MERRITT ISLAND, FL, 32952
PANARESE TODD V Director 215 CONE ROAD, MERRITT ISLAND, FL, 32952
PALERMO GIUSEPPE Director 1048 HARVIN WAY, ROCKLEDGE, FL, 32955
PALERMO GIUSEPPE President 1048 HARVIN WAY, ROCKLEDGE, FL, 32955
BADOLATO CRAIG Director 1430 S. PINE STREET, MELBOURNE, FL, 32901
Chopra Rahul R Director 1430 S. PINE ST., MELBOURNE, FL, 32901
Kancharla Venkat Pavan A Director 20 SAN FILIPPO DRIVE, PALM BAY, FL, 32909
KANCILIA JOHN R Agent 2101 Waverly Place, Suite 100, MELBOURNE, FL, 32901

National Provider Identifier

NPI Number:
1801561709
Certification Date:
2021-08-12

Authorized Person:

Name:
GAIL KNIGHT ERENTREICH
Role:
DIRECTOR OF CLINICAL OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
3216367180
Fax:
3217251555

Form 5500 Series

Employer Identification Number (EIN):
593169766
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
31
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-11-17 2101 Waverly Place, Suite 100, MELBOURNE, FL 32901 -
REINSTATEMENT 2021-11-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
RESTATED ARTICLES 2020-10-07 - -
REGISTERED AGENT NAME CHANGED 2020-10-07 KANCILIA, JOHN R. -
CORPORATE MERGER 1995-12-27 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 100000008761
CHANGE OF PRINCIPAL ADDRESS 1994-04-29 1430 S. PINE ST., MELBOURNE, FL 32901 -
CHANGE OF MAILING ADDRESS 1994-04-29 1430 S. PINE ST., MELBOURNE, FL 32901 -
CORPORATE MERGER 1994-01-10 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CORPORATE MERGER NUMBER 500000003115
NAME CHANGE AMENDMENT 1994-01-10 CANCER CARE CENTERS OF BREVARD, INC. -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-09
REINSTATEMENT 2021-11-17
Restated Articles 2020-10-07
ANNUAL REPORT 2020-01-21
AMENDED ANNUAL REPORT 2019-10-02
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-06-19

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Date of last update: 01 Aug 2025

Sources: Florida Department of State