| Entity Name: | WILLIAM S. WONG, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Apr 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Nov 2024 (3 months ago) |
| Document Number: | P02000039716 |
| FEI/EIN Number | 650596370 |
| Address: | 927 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803, US |
| Mail Address: | 927 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528241304 | 2007-12-14 | 2008-01-11 | 927 S FLORIDA AVE, LAKELAND, FL, 338031149, US | 927 S FLORIDA AVE, LAKELAND, FL, 338031149, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-686-1081 |
| Fax | 8636876333 |
Authorized person
| Name | WILLIAM S. WONG |
| Role | DOCTOR |
| Phone | 8636861081 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2496 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 480034954 |
| State | FL |
| Issuer | BCBS |
| Number | 65427 |
| State | FL |
| Issuer | CIGNA HEALTHCARE |
| Number | 0292330 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Wong William SDr. | Agent | 927 S. FLORIDA AVE., LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| WONG WILLIAM S | Director | 927 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000026017 | LAKELAND FOOT AND ANKLE | ACTIVE | 2018-02-21 | 2028-12-31 | No data | 927 S. FLORIDA AVE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-19 | Wong, William Steven, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-12 | 927 S. FLORIDA AVE., LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-19 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
