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WHITE WILSON MEDICAL CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: WHITE WILSON MEDICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WHITE WILSON MEDICAL CENTER, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Dec 1989 (36 years ago)
Last Event: AMENDMENT
Event Date Filed: 08 Apr 2016 (9 years ago)
Document Number: L38084
FEI/EIN Number 593000333

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547, US
Mail Address: 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547, US
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HENRY AARON MD Treasurer 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547
DALI JOHN CMD President 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547
HANSEN CHRISTOPHER MD Vice President 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547
NAGDA KRISHAN MD Chairman 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547
BROWN VERGIL MD Secretary 1005 MAR WALT DR, FT WALTON BEACH, FL, 32547
PERSAUD KENNETH MD Agent 1005 MAR-WALT DRIVE, FT WALTON BEACH, FL, 32547

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
1S291
UEI Expiration Date:
2020-06-23

Business Information

Doing Business As:
WHITE-WILSON MEDICAL CENTER
Activation Date:
2019-06-24
Initial Registration Date:
2010-02-02

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
1S291
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-06-05
CAGE Expiration:
2026-05-10
SAM Expiration:
2022-06-05

Contact Information

POC:
WENDY DELL
Corporate URL:
http://www.white-wilson.com

National Provider Identifier

NPI Number:
1063267128
Certification Date:
2024-08-01

Authorized Person:

Name:
KENNETH PERSAUD
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8508634152
Fax:
8334512226

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 PERSAUD, KENNETH, MD -
AMENDMENT 2016-04-08 - -
CHANGE OF PRINCIPAL ADDRESS 2009-02-27 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 -
CHANGE OF MAILING ADDRESS 2009-02-27 1005 MAR WALT DR, FT WALTON BEACH, FL 32547 -
REGISTERED AGENT ADDRESS CHANGED 2000-01-25 1005 MAR-WALT DRIVE, FT WALTON BEACH, FL 32547 -

Debts

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

Court Cases

Title Case Number Docket Date Status
White-Wilson Medical Center, P.A., Appellant(s) v. Neil Garrett Powell, M.D., Appellee(s). 1D2024-2092 2024-08-16 Closed
Classification NOA Final - Circuit Civil - Other
Court 1st District Court of Appeal
Originating Court Circuit Court for the First Judicial Circuit, Okaloosa County
2012 CA 001455 F

Parties

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

Documents

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

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Date of last update: 02 Jul 2025

Sources: Florida Department of State