| Entity Name: | CENTRAL FLORIDA CANCER INSTITUTE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Apr 1999 (26 years ago) |
| Document Number: | P99000032322 |
| FEI/EIN Number | 593569143 |
| Address: | 40107 HIGHWAY 27, DAVENPORT, FL, 33837, US |
| Mail Address: | 1420 CELEBRATION BLVD, SUITE 308, CELEBRATION, FL, 34747, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300S658GYKDSR3374 | P99000032322 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
|
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| Legal | C/O Heysek, Randy V M.D., 2243 North Boulevard West, Davenport, US-FL, US, 33837 |
| Headquarters | C/O Heysek, Randy V M.D., 2243 North Boulevard West, Davenport, US-FL, US, 33837 |
Registration details
| Registration Date | 2013-07-29 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2014-07-29 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | P99000032322 |
| Name | Role | Address |
|---|---|---|
| COLON EDWARD | Agent | 40107 HWY 27, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| SHA SANDRA | Vice President | 40107 HIGHWAY 27, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| HEYSEK RANDY | Director | 40107 HIGHWAY 27, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| ROSS SUSAN M.D. | EXVP | 40107 HIGHWAY 27, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| COLON EDWARD | Chief Financial Officer | 1420 CELEBRATION BLVD SUITE 308, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-05-27 | No data | No data |
| ADMIN DISSOLUTION FOR REGISTERED AGENT | 2021-02-02 | No data | No data |
| AMENDMENT | 2016-07-11 | No data | No data |
| REINSTATEMENT | 2013-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2003-03-28 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
