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HENRY E. WILEY, III, MD, P.A. - Florida Company Profile

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Company Details

Entity Name: HENRY E. WILEY, III, MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Oct 2000 (25 years ago)
Date of dissolution: 07 May 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 May 2024 (a year ago)
Document Number: P00000094694
FEI/EIN Number 593674316
Address: 1425 S HOWARD AVE, TAMPA, FL, 33606
Mail Address: 916 S Golf View St, Tampa, FL, 33629, US
ZIP code: 33606
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILEY HENRY EIII, MD Director 1425 S HOWARD AVE, TAMPA, FL, 33606
WILEY HENRY EIII, MD President 1425 S HOWARD AVE, TAMPA, FL, 33606
Goodwin James WEsq. Agent 201 N Franklin St, Tampa, FL, 33602

National Provider Identifier

NPI Number:
1154519767

Authorized Person:

Name:
DR. HENRY E WILEY III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593674316
Plan Year:
2013
Number Of Participants:
8
Sponsors DBA Name:
HENRY E. WILEY, III, M.D., P.A.
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
9
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-05-07 - -
CHANGE OF MAILING ADDRESS 2023-03-27 1425 S HOWARD AVE, TAMPA, FL 33606 -
REGISTERED AGENT NAME CHANGED 2023-03-27 Goodwin, James W, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2023-03-27 201 N Franklin St, Suite 2000, Tampa, FL 33602 -

Documents

Name Date
Voluntary Dissolution 2024-05-07
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-27
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-23
ANNUAL REPORT 2015-03-01

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Date of last update: 02 Aug 2025

Sources: Florida Department of State