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  5. CANCER CARE SPECIALISTS, INC.

CANCER CARE SPECIALISTS, INC.

Company Details

Entity Name: CANCER CARE SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Mar 1997 (28 years ago)
Document Number: P97000030501
FEI/EIN Number 650764868
Address: BETHESDA CENTER FOR RAD/ONC, 2815 SOUTH SEACREST BLVD., BOYNTON BEACH, FL, 33435
Mail Address: BETHESDA CENTER FOR RAD/ONC, 2815 SOUTH SEACREST BLVD., BOYNTON BEACH, FL, 33435
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528160884 2006-09-05 2012-06-05 1409 S PALMWAY, LAKE WORTH, FL, 334605711, US 2815 S SEACREST BLVD, BOYNTON BEACH, FL, 33435, US

Contacts
Phone +1 561-585-9003

Authorized person
Name JAMES THOMAS PARSONS
Role PRESIDENT OWNER
Phone 5615859003

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 060890400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CANCER CARE SPECIALISTS INC PROFIT SHARING PLAN 2014 650764868 2015-10-13 CANCER CARE SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617370501
Plan sponsor’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435
CANCER CARE SPECIALISTS INC PROFIT SHARING PLAN 2013 650764868 2014-07-31 CANCER CARE SPECIALISTS INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617370501
Plan sponsor’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435
CANCER CARE SPECIALISTS INC PROFIT SHARING PLAN 2012 650764868 2013-10-08 CANCER CARE SPECIALISTS INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617370501
Plan sponsor’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing JAMES PARSONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing JAMES PARSONS
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS INC PROFIT SHARING PLAN 2011 650764868 2012-10-12 CANCER CARE SPECIALISTS INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617370501
Plan sponsor’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435

Plan administrator’s name and address
Administrator’s EIN 650764868
Plan administrator’s name CANCER CARE SPECIALISTS INC
Plan administrator’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435
Administrator’s telephone number 5617370501

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JAMES PARSONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing JAMES PARSONS
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS INC PROFIT SHARING PLAN 2010 650764868 2011-10-05 CANCER CARE SPECIALISTS INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617370501
Plan sponsor’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435

Plan administrator’s name and address
Administrator’s EIN 650764868
Plan administrator’s name CANCER CARE SPECIALISTS INC
Plan administrator’s address 2815 S. SEACREST BLVD, BOYTON BEACH, FL, 33435
Administrator’s telephone number 5617370501

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing BRUCE GREENE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-05
Name of individual signing BRUCE GREENE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PARSONS JAMES M Agent BETHESDA CENTER FOR RAD/ONC, BOYNTON BEACH, FL, 33435

President

Name Role Address
PARSONS JAMES T President 2815 SOUTH SEACREST BLVD., BOYNTON BEACH, FL, 33435

Director

Name Role Address
PARSONS JAMES T Director 2815 SOUTH SEACREST BLVD., BOYNTON BEACH, FL, 33435
SHARMA VINAY M Director 2815 S. SEACREST BLVD., BOYNTON BEACH, FL, 33435

Vice President

Name Role Address
SHARMA VINAY M Vice President 2815 S. SEACREST BLVD., BOYNTON BEACH, FL, 33435

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
REINSTATEMENT 1999-07-23 No data No data
NAME CHANGE AMENDMENT 1999-07-23 CANCER CARE SPECIALISTS, INC. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Related by officers

PARSONS JAMES M

FLORIDA INSTITUTE OF MEDICAL TOXICOLOGY, INC. GP FOR LP, INC. SLENDER, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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