| Entity Name: | WILLIAM VARGAS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Oct 1979 (45 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | 642665 |
| FEI/EIN Number | 59-1945528 |
| Address: | 541 South Florida Avenue, LAKELAND, FL 33801 |
| Mail Address: | 541 South Florida Avenue, LAKELAND, FL 33801 |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174872907 | 2012-09-07 | 2012-09-07 | 202 PARKVIEW PLACE, LAKELAND, FL, 33805, US | 202 PARKVIEW PLACE, LAKELAND, FL, 33805, US | |||||||||||||||||||
|
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| Phone | +1 863-682-7246 |
| Fax | 8636837256 |
Authorized person
| Name | DR. WILLIAM VARGAS |
| Role | M.D. |
| Phone | 8636827246 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME24608 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VARGAS, WILLIAM | Agent | 541 South Florida Avenue, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| VARGAS, WILLIAM | Manager | 541 South Florida Avenue, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| VARGAS, WILLIAM | Director | 541 South Florida Avenue, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| VAGAS, JAIRO | Secretary | 3275 FOX HILL DR., CLEARWATER, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-25 | 541 South Florida Avenue, LAKELAND, FL 33801 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-25 | 541 South Florida Avenue, LAKELAND, FL 33801 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-25 | 541 South Florida Avenue, LAKELAND, FL 33801 | No data |
| REINSTATEMENT | 2010-09-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-02-06 | VARGAS, WILLIAM | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-01-30 |
| ANNUAL REPORT | 2013-01-23 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
