| Entity Name: | JORY D. WILLIAMS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Dec 2000 (24 years ago) |
| Date of dissolution: | 16 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Apr 2022 (3 years ago) |
| Document Number: | P01000000263 |
| FEI/EIN Number | 593687953 |
| Address: | 501 N HOWARD AVE, SUITE 100, TAMPA, FL, 33606 |
| Mail Address: | 501 N HOWARD AVE, SUITE 100, TAMPA, FL, 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104878198 | 2006-05-17 | 2010-12-02 | 501 N HOWARD AVE, SUITE 100, TAMPA, FL, 336061213, US | 501 N HOWARD AVE, SUITE 100, TAMPA, FL, 336061213, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-253-2727 |
| Fax | 8132532729 |
Authorized person
| Name | DR. JORY D WILLIAMS |
| Role | OWNER/PHYSICIAN |
| Phone | 8132532727 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MCR |
| Number | DF6992 |
| State | FL |
| Issuer | DR WILLIAMS AETNA |
| Number | 2520705 |
| State | FL |
| Issuer | DR WILLIAMS CIGNA |
| Number | 1706656 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 99442 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS JORY D | Agent | 501 N HOWARD AVE, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS JORY D | President | 501 N HOWARD AVE SUITE 100, TAMPA, FL, 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000018291 | HYDE PARK EYE CENTER | ACTIVE | 2021-02-06 | 2026-12-31 | No data | 501 N. HOWARD AVE., SUITE 100, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-23 | 501 N HOWARD AVE, SUITE 100, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-23 | 501 N HOWARD AVE, SUITE 100, TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-23 | 501 N HOWARD AVE, SUITE 100, TAMPA, FL 33606 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-16 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-05-10 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
