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WAYNE S. WILLIS, M.D., LLC - Florida Company Profile

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Company Details

Entity Name: WAYNE S. WILLIS, M.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 30 Jan 2006 (20 years ago)
Date of dissolution: 14 Jul 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 14 Jul 2019 (6 years ago)
Document Number: L06000012957
FEI/EIN Number 203964654
Address: 3111 PEGGY BOND DRIVE, PENSACOLA, FL, 32504, US
Mail Address: 3111 PEGGY BOND DRIVE, PENSACOLA, FL, 32504, US
ZIP code: 32504
City: Pensacola
County: Escambia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILLIS WAYNE S Managing Member 3111 PEGGY BOND DRIVE, PENSACOLA, FL, 32504
WILLIS WAYNE S Agent 3111 PEGGY BOND DRIVE, PENSACOLA, FL, 32504

National Provider Identifier

NPI Number:
1215349535

Authorized Person:

Name:
KAYLA HUGHES
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8504380699

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-07-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2013-01-29 3111 PEGGY BOND DRIVE, PENSACOLA, FL 32504 -
CHANGE OF MAILING ADDRESS 2013-01-29 3111 PEGGY BOND DRIVE, PENSACOLA, FL 32504 -
REGISTERED AGENT ADDRESS CHANGED 2013-01-29 3111 PEGGY BOND DRIVE, PENSACOLA, FL 32504 -
LC NAME CHANGE 2009-09-08 WAYNE S. WILLIS, M.D., LLC -
CONVERSION 2006-01-30 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P05000165307. CONVERSION NUMBER 100000055321

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-07-14
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-02-18
ANNUAL REPORT 2014-03-07
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-01-17
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-01-19
LC Name Change 2009-09-08

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Date of last update: 03 Aug 2025

Sources: Florida Department of State