| Entity Name: | WILLISTON PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Feb 2000 (25 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 26 Apr 2018 (7 years ago) |
| Document Number: | P00000016813 |
| FEI/EIN Number | 593623914 |
| Address: | 223 N. MAIN ST., WILLISTON, FL, 32696 |
| Mail Address: | 15979 NW 165TH ST., WILLISTON, FL, 32696 |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497421267 | 2021-08-20 | 2021-08-20 | 223 N MAIN ST, WILLISTON, FL, 326962136, US | 223 N MAIN ST, WILLISTON, FL, 326962136, US | |||||||||||||||
|
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| Phone | +1 352-529-0477 |
| Fax | 3525290406 |
Authorized person
| Name | JAMES LEE QUINLAN |
| Role | PRESIDENT |
| Phone | 3525290477 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUINLAN JAMES L | Agent | 15979 NW 165TH STREET, WILLISTON, FL, 32696 |
| Name | Role | Address |
|---|---|---|
| QUINLAN JAMES L | President | 15979 NW 165TH STREET, WILLISTON, FL, 32696 |
| Name | Role | Address |
|---|---|---|
| QUINLAN DEBORAH L | Secretary | 15979 NW 165TH ST., WILLISTON, FL, 32696 |
| Name | Role | Address |
|---|---|---|
| Quinlan Andrea M | Treasurer | 15979 NW 165TH ST., WILLISTON, FL, 32696 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2018-04-26 | WILLISTON PEDIATRICS, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-28 | 223 N. MAIN ST., WILLISTON, FL 32696 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-02-17 | QUINLAN, JAMES L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-02-08 | 15979 NW 165TH STREET, WILLISTON, FL 32696 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-04-02 |
| Name Change | 2018-04-26 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
