| Entity Name: | NAPLES RADIATION ONCOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Mar 1999 (26 years ago) |
| Document Number: | P99000028242 |
| FEI/EIN Number | 593565692 |
| Address: | 2575 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119, US |
| Mail Address: | 2575 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871555946 | 2006-04-04 | 2021-08-19 | 2575 NORTHBROOKE PLAZA DR UNIT 207, NAPLES, FL, 341198099, US | 2575 NORTHBROOKE PLAZA DR UNIT 207, NAPLES, FL, 341198099, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 239-262-5168 |
| Fax | 2392628524 |
Authorized person
| Name | DR. DEBRA FREEMAN |
| Role | RADIATION ONCOLOGIST |
| Phone | 2392625168 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 057715400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 256919100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FREEMAN DEBRA E | Agent | 2575 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| FREEMAN DEBRA E | Director | 2575 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-16 | 2575 NORTHBROOKE PLAZA DR, 207, NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 2575 NORTHBROOKE PLAZA DR, 207, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 2575 NORTHBROOKE PLAZA DR, 207, NAPLES, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
