| Entity Name: | WHITE WILSON MEDICAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Dec 1989 (35 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Apr 2016 (9 years ago) |
| Document Number: | L38084 |
| FEI/EIN Number | 59-3000333 |
| Address: | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Mail Address: | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063267128 | 2024-04-22 | 2024-08-01 | 1005 MAR WALT DR, FORT WALTON BEACH, FL, 325476707, US | 1045 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324353379, US | |||||||||||||||||||
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| Phone | +1 850-863-8299 |
| Fax | 8508634152 |
| Phone | +1 850-892-3366 |
| Fax | 8334512226 |
Authorized person
| Name | KENNETH PERSAUD |
| Role | CEO |
| Phone | 8508638150 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERSAUD, KENNETH, MD | Agent | 1005 MAR-WALT DRIVE, FT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| DALI, JOHN C, MD | President | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| HANSEN, CHRISTOPHER, MD | Vice President | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| NAGDA, KRISHAN, MD | Chairman | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| HENRY, AARON | Treasurer | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| BROWN, VERGIL, MD | Secretary | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | PERSAUD, KENNETH, MD | No data |
| AMENDMENT | 2016-04-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-27 | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-27 | 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-01-25 | 1005 MAR-WALT DRIVE, FT WALTON BEACH, FL 32547 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000562528 | ACTIVE | 2012-CA-001455 F | OKALOOSA COUNTY COURT | 2024-07-30 | 2029-09-04 | $704,294.35 | NEIL GARRETT POWELL, 2423 S. ORANGE AVE #342, ORLANDO, FL 32806 |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| White-Wilson Medical Center, P.A., Appellant(s) v. Neil Garrett Powell, M.D., Appellee(s). | 1D2024-2092 | 2024-08-16 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | WHITE WILSON MEDICAL CENTER, P.A. |
| Role | Appellant |
| Status | Active |
| Representations | Daniel E Harrell |
| Name | Hon. John Thomas Brown |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Okaloosa Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
| Name | Neil Garrett Powell |
| Role | Appellee |
| Status | Active |
| Representations | Mark Stephen Thomas, Gillis Edward Powell, Jr. |
Docket Entries
| Docket Date | 2024-10-17 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | Dismissed |
| View | View File |
| Docket Date | 2024-10-08 |
| Type | Motions Other |
| Subtype | Motion/Notice Voluntary Dismissal |
| Description | Motion/Notice Voluntary Dismissal |
| On Behalf Of | White-Wilson Medical Center, P.A. |
| Docket Date | 2024-09-17 |
| Type | Misc. Events |
| Subtype | Docketing Statement |
| Description | Docketing Statement |
| On Behalf Of | White-Wilson Medical Center, P.A. |
| Docket Date | 2024-08-28 |
| Type | Event |
| Subtype | Fee Paid in Full |
| Description | Fee Paid in Full |
| View | View File |
| Docket Date | 2024-08-27 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order on Filing Fee |
| View | View File |
| Docket Date | 2024-08-21 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-08-16 |
| Type | Notice |
| Subtype | Notice of Cross Appeal |
| Description | Notice of Cross Appeal |
| On Behalf Of | Neil Garrett Powell |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-22 |
| AMENDED ANNUAL REPORT | 2018-06-12 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
