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HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHWEST FLORIDA, INC.

Company Details

Entity Name: HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHWEST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Oct 1985 (39 years ago)
Date of dissolution: 06 Jul 1987 (38 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Jul 1987 (38 years ago)
Document Number: H78541
FEI/EIN Number 00-0000000
Address: 928-B MAR WALT DRIVE, FORT WALTON BEACH, FL 32548
Mail Address: 928-B MAR WALT DRIVE, FORT WALTON BEACH, FL 32548
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366566077 2007-03-19 2008-12-23 1632 RIGGINS RD, TALLAHASSEE, FL, 323085316, US 1632 RIGGINS RD, TALLAHASSEE, FL, 323085316, US

Contacts

Phone +1 850-877-8166

Authorized person

Name DR. R. JAMES MABRY
Role PARTNER
Phone 8508778166

Taxonomy

Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary Yes

Agent

Name Role Address
FOSTER, WILLIAM SCOTT Agent 909 MAR WALT DRIVE, SUITE 1014, FORT WALTON BEACH, FL 32548

President

Name Role Address
EHRMAN, MARK, M.D. President 918 MAR WALT DR, FT WALTON BCH, FL

Secretary

Name Role Address
EHRMAN, MARK, M.D. Secretary 918 MAR WALT DR, FT WALTON BCH, FL

Treasurer

Name Role Address
EHRMAN, MARK, M.D. Treasurer 918 MAR WALT DR, FT WALTON BCH, FL

Vice President

Name Role Address
EHRMAN, MARK, M.D. Vice President 918 MAR WALT DR, FT WALTON BCH, FL

Director

Name Role Address
EHRMAN, MARK, M.D. Director 918 MAR WALT DR, FT WALTON BCH, FL

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 1987-07-06 No data No data

Date of last update: 04 Feb 2025

Sources: Florida Department of State