| Entity Name: | HAROLD S. WILLIAMS, M.D. & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Oct 2003 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P03000117929 |
| FEI/EIN Number | 200325397 |
| Address: | 1051 NE 200 LANE, MIAMI, FL, 33179, US |
| Mail Address: | 1051 NE 200 LANE, MIAMI, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003975020 | 2006-12-06 | 2011-04-20 | 100 NW 170TH ST, SUITE 405, NORTH MIAMI BEACH, FL, 331695513, US | 100 NW 170TH ST, SUITE 405, NORTH MIAMI BEACH, FL, 331695513, US | |||||||||||||||||||||
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| Phone | +1 305-652-6466 |
| Fax | 3056523104 |
Authorized person
| Name | MRS. DOROTHY WILLIAMS |
| Role | ADMINISTRATOR |
| Phone | 3056526466 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 059789900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADDICOTT SARI T | Agent | 900 NORTH FEDERAL HIGHWAY, HALLANDALE BEACH, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| HAROLD S WILLIAMS MD & ASSOCIATES PA | President | 1051 NE 200 LANE, MIAMI, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 1051 NE 200 LANE, MIAMI, FL 33179 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-27 | 1051 NE 200 LANE, MIAMI, FL 33179 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-20 | 900 NORTH FEDERAL HIGHWAY, SUITE 201, HALLANDALE BEACH, FL 33009 | No data |
| AMENDMENT AND NAME CHANGE | 2003-10-29 | HAROLD S. WILLIAMS, M.D. & ASSOCIATES, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-05-03 |
| ANNUAL REPORT | 2011-04-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
