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WILLISTON PEDIATRICS, INC. - Florida Company Profile

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Company Details

Entity Name: WILLISTON PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Feb 2000 (26 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
City: Williston
County: Levy
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
QUINLAN JAMES L President 15979 NW 165TH STREET, WILLISTON, FL, 32696
QUINLAN DEBORAH L Secretary 15979 NW 165TH ST., WILLISTON, FL, 32696
Quinlan Andrea M Treasurer 15979 NW 165TH ST., WILLISTON, FL, 32696
QUINLAN JAMES L Agent 15979 NW 165TH STREET, WILLISTON, FL, 32696

National Provider Identifier

NPI Number:
1497421267
Certification Date:
2021-07-29

Authorized Person:

Name:
JAMES LEE QUINLAN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
3525290406

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2018-04-26 WILLISTON PEDIATRICS, INC. -
CHANGE OF PRINCIPAL ADDRESS 2004-04-28 223 N. MAIN ST., WILLISTON, FL 32696 -
REGISTERED AGENT NAME CHANGED 2002-02-17 QUINLAN, JAMES L -
REGISTERED AGENT ADDRESS CHANGED 2001-02-08 15979 NW 165TH STREET, WILLISTON, FL 32696 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
99273.17
Total Face Value Of Loan:
99273.17
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
99273.17
Total Face Value Of Loan:
99273.17

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$99,273.17
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$99,273.17
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$100,191.45
Servicing Lender:
Seacoast National Bank
Use of Proceeds:
Payroll: $79,418.54
Utilities: $3,000
Rent: $16,854.63

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Date of last update: 02 Aug 2025

Sources: Florida Department of State