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  5. CANCER CARE CENTERS OF BREVARD, INC.

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

Company Details

Entity Name: CANCER CARE CENTERS OF BREVARD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CANCER CARE CENTERS OF BREVARD, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Feb 1993 (32 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Nov 2021 (3 years ago)
Document Number: P93000013402
FEI/EIN Number 593169766

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1430 S. PINE ST., MELBOURNE, FL, 32901, US
Mail Address: 1430 S. PINE ST., MELBOURNE, FL, 32901, US
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801561709 2021-08-12 2021-08-12 1048 HARVIN WAY, ROCKLEDGE, FL, 329553229, US 1541 S WICKHAM RD, WEST MELBOURNE, FL, 329043540, US

Contacts
Fax 3216367180
Phone +1 321-725-8300
Fax 3217251555

Authorized person
Name GAIL KNIGHT ERENTREICH
Role DIRECTOR OF CLINICAL OPERATIONS
Phone 3216362111

Taxonomy
Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PROFIT SHARING PLAN 2023 593169766 2024-08-01 CANCER CARE CENTERS OF BREVARD, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2024-08-01
Name of individual signing JOHN KERSTIENS
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PROFIT SHARING PLAN 2022 593169766 2023-09-28 CANCER CARE CENTERS OF BREVARD, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing JOHN KERSTIENS
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PROFIT SHARING PLAN 2021 593169766 2022-10-13 CANCER CARE CENTERS OF BREVARD, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JOHN KERSTIENS
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PROFIT SHARING PLAN 2020 593169766 2021-07-27 CANCER CARE CENTERS OF BREVARD, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PROFIT SHARING PLAN 2019 593169766 2020-10-12 CANCER CARE CENTERS OF BREVARD, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PLAN 2018 593169766 2019-07-17 CANCER CARE CENTERS OF BREVARD, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PLAN 2017 593169766 2018-10-11 CANCER CARE CENTERS OF BREVARD, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PLAN 2016 593169766 2017-09-20 CANCER CARE CENTERS OF BREVARD, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2017-09-20
Name of individual signing MELEAH BRIDGES
Valid signature Filed with authorized/valid electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PLAN 2015 593169766 2016-08-18 CANCER CARE CENTERS OF BREVARD, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing RAVI A SHANKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-18
Name of individual signing RAVI A SHANKAR
Valid signature Filed with incorrect/unrecognized electronic signature
CANCER CARE CENTERS OF BREVARD, INC. 401(K) PLAN 2014 593169766 2015-09-18 CANCER CARE CENTERS OF BREVARD, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-09-01
Business code 621111
Sponsor’s telephone number 3219520898
Plan sponsor’s address 1430 S. PINE STREET, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing RAVI A SHANKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-18
Name of individual signing RAVI A SHANKAR
Valid signature Filed with authorized/valid electronic signature

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

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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Companies related by address

No other companies in our directory share the same address as CANCER CARE CENTERS OF BREVARD, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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