| Entity Name: | CYNTHIA WILLINGHAM, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2023 (a year ago) |
| Document Number: | M23000015336 |
| FEI/EIN Number | 81-3569468 |
| Address: | 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702 |
| Mail Address: | PO Box 1164, Fayetteville, TN 37334 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174078711 | 2016-08-24 | 2024-05-29 | PO BOX 1164, FAYETTEVILLE, TN, 373341164, US | 1730 NE PINE ISLAND RD, CAPE CORAL, FL, 339091734, US | |||||||||||||||
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| Phone | +1 931-993-9088 |
| Phone | +1 239-355-2416 |
Authorized person
| Name | CYNTHIA A WILLINGHAM |
| Role | MEDICAL DIRECTOR |
| Phone | 9319939088 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| WILLINGHAM, CYNTHIA | Authorized Member | 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-14 | 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-14 |
| Foreign Limited | 2023-12-05 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
