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  5. TREASURE COAST CANCER CARE CENTER, INC.

TREASURE COAST CANCER CARE CENTER, INC. - Florida Company Profile

Company Details

Entity Name: TREASURE COAST CANCER CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TREASURE COAST CANCER CARE CENTER, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 26 Jan 1999 (26 years ago)
Date of dissolution: 30 Mar 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Mar 2020 (5 years ago)
Document Number: P99000007349
FEI/EIN Number 650891840

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1310 SW Estates Pl, Palm City, FL, 34990, US
Mail Address: 1310 SW Estates Pl, Palm City, FL, 34990, US
ZIP code: 34990
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407841810 2005-09-13 2014-06-26 1700 SE HILLMOOR DR, STE 306, PORT ST LUCIE, FL, 349527539, US 1700 SE HILLMOOR DR, STE 306, PORT ST LUCIE, FL, 349527539, US

Contacts
Phone +1 772-398-6016
Fax 7723370320

Authorized person
Name DR. SIVA P BELLAM
Role PRESIDENT
Phone 7723986016

Taxonomy
Taxonomy Code 207RX0202X - Medical Oncology Physician
License Number ME0070221
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BLUECROSS BLUESHIELD
Number 31481
State FL
Issuer TRICARE
Number 235170784
State FL
Issuer MEDICAID
Number 250467700
State FL
Issuer CIGNA
Number 2967902005
State FL
Issuer RAIL ROAD MEDICARE
Number 830005561
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TREASURE COAST CANCER CARE CENTER DEFINED BENEFIT PLAN 2017 650891840 2018-03-08 TREASURE COAST CANCER CARE CENTER, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER DEFINED BENEFIT PLAN 2016 650891840 2017-10-09 TREASURE COAST CANCER CARE CENTER, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2016 650891840 2017-02-22 TREASURE COAST CANCER CARE CENTER, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2015 650891840 2016-11-01 TREASURE COAST CANCER CARE CENTER, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2015 650891840 2016-10-30 TREASURE COAST CANCER CARE CENTER, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2014 650891840 2015-07-23 TREASURE COAST CANCER CARE CENTER, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2013 650891840 2014-09-22 TREASURE COAST CANCER CARE CENTER, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2012 650891840 2013-10-07 TREASURE COAST CANCER CARE CENTER, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE SUITE 306, PORT SAINT LUCIE, FL, 34952

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing DR. SIVA BELLAM
Valid signature Filed with authorized/valid electronic signature
TREASURE COAST CANCER DEFINED BENEFIT PLAN 2011 650891840 2012-08-08 TREASURE COAST CANCER CARE CENTER 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE, SUITE 306, PORT ST. LUCIE, FL, 34952

Plan administrator’s name and address
Administrator’s EIN 650891840
Plan administrator’s name TREASURE COAST CANCER CARE CENTER
Plan administrator’s address 1700 SE HILLMOOR DRIVE, SUITE 306, PORT ST. LUCIE, FL, 34952
Administrator’s telephone number 7723986016

Signature of
Role Plan administrator
Date 2012-08-08
Name of individual signing SIVA BELLAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-08
Name of individual signing SIVA BELLAM
Valid signature Filed with authorized/valid electronic signature
TREASURE COAST CANCER CARE CENTER 401(K) PLAN 2011 650891840 2012-07-12 TREASURE COAST CANCER CARE CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7723986016
Plan sponsor’s address 1700 SE HILLMOOR DRIVE, SUITE 306, PORT ST. LUCIE, FL, 34952

Plan administrator’s name and address
Administrator’s EIN 650891840
Plan administrator’s name TREASURE COAST CANCER CARE CENTER
Plan administrator’s address 1700 SE HILLMOOR DRIVE, SUITE 306, PORT ST. LUCIE, FL, 34952
Administrator’s telephone number 7723986016

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing SIVA BELLAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing SIVA BELLAM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BELLAM SIVAPRASAD President 1310 SW Estates Pl, Palm City, FL, 34990
BELLAM SIVAPRASAD Secretary 1310 SW Estates Pl, Palm City, FL, 34990
BELLAM SIVAPRASAD Treasurer 1310 SW Estates Pl, Palm City, FL, 34990
BELLAM SIVAPRASAD Director 1310 SW Estates Pl, Palm City, FL, 34990
BELLAM SAI VIJAYA Officer 1310 SW Estates Pl, Palm City, FL, 34990
RAVIPATI JANAKIRAM Secretary 1310 SW Estates Pl, Palm City, FL, 34990
BELLAM SIVA P Agent 1310 SW Estates Pl, Palm City, FL, 34990

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-03-30 - -
CHANGE OF PRINCIPAL ADDRESS 2019-01-11 1310 SW Estates Pl, Palm City, FL 34990 -
CHANGE OF MAILING ADDRESS 2019-01-11 1310 SW Estates Pl, Palm City, FL 34990 -
REGISTERED AGENT ADDRESS CHANGED 2019-01-11 1310 SW Estates Pl, Palm City, FL 34990 -
AMENDMENT 2014-01-24 - -
REGISTERED AGENT NAME CHANGED 2014-01-24 BELLAM, SIVA P -

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-03-30
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-07
AMENDED ANNUAL REPORT 2014-01-26
Amendment 2014-01-24
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-01-02

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Companies related by address

No other companies in our directory share the same address as TREASURE COAST CANCER CARE CENTER, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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