| Entity Name: | WAYNE P. JUSTICE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Aug 2001 (23 years ago) |
| Document Number: | P01000085507 |
| FEI/EIN Number | 593742058 |
| Address: | 1003 W COLLEGE BLVD SUITE 2, NICEVILLE, FL, 32578 |
| Mail Address: | 1003 W COLLEGE BLVD SUITE 2, NICEVILLE, FL, 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528397791 | 2009-12-16 | 2010-06-14 | 1003 COLLEGE BLVD W STE 2, NICEVILLE, FL, 325781069, US | 1003 COLLEGE BLVD W STE 2, NICEVILLE, FL, 325781069, US | |||||||||||||||
|
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| Phone | +1 850-678-0443 |
| Fax | 8506787999 |
Authorized person
| Name | DR. WAYNE P JUSTICE |
| Role | PRESIDENT |
| Phone | 8506780443 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JUSTICE WAYNE P | Agent | 1003 W COLLEGE BLVD SUITE 2, NICEVILLE, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| JUSTICE WAYNE P | Director | 1265 NORTH BAYSHORE DRIVE, VALPARAISO, FL, 32580 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2006-03-07 | JUSTICE, WAYNE P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-07 | 1003 W COLLEGE BLVD SUITE 2, NICEVILLE, FL 32578 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-05-10 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
