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WILLISTON FAMILY PRACTICE, P.A. - Florida Company Profile

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Company Details

Entity Name: WILLISTON FAMILY PRACTICE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Oct 2000 (25 years ago)
Date of dissolution: 22 Sep 2017 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (8 years ago)
Document Number: P00000098951
FEI/EIN Number 593677068
Address: 125 SW 7TH STREET, WILLISTON, FL, 32696, US
Mail Address: P.O. BOX 130, WILLISTON, FL, 32696, US
ZIP code: 32696
City: Williston
County: Levy
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ATKINSON MARIA M President 111 WEST NOBLE AVENUE, WILLISTON, FL, 32696
ATKINSON MARIA M Agent 125 SW 7th St, WILLISTON, FL, 32696

National Provider Identifier

NPI Number:
1295938785

Authorized Person:

Name:
ERICA NATASHA MCBRIDE
Role:
OFFICEMANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3525291115

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2016-04-15 125 SW 7th St, WILLISTON, FL 32696 -
CHANGE OF PRINCIPAL ADDRESS 2015-08-21 125 SW 7TH STREET, WILLISTON, FL 32696 -
CHANGE OF MAILING ADDRESS 2015-08-21 125 SW 7TH STREET, WILLISTON, FL 32696 -
REGISTERED AGENT NAME CHANGED 2002-01-31 ATKINSON, MARIA M.D. -

Documents

Name Date
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-03-10
ANNUAL REPORT 2013-03-06
ANNUAL REPORT 2012-04-04
ANNUAL REPORT 2011-03-31
ANNUAL REPORT 2010-04-05
ANNUAL REPORT 2009-03-27
ANNUAL REPORT 2008-02-13
ANNUAL REPORT 2007-05-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State