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WILLIAM L. ROSS, INC.

Company Details

Entity Name: WILLIAM L. ROSS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Jan 2004 (21 years ago)
Date of dissolution: 16 Sep 2005 (19 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Sep 2005 (19 years ago)
Document Number: P04000022620
Address: 4704 5TH ST W, BRADENTON, FL, 34207
Mail Address: 4704 5TH ST W, BRADENTON, FL, 34207
ZIP code: 34207
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083834246 2007-04-27 2008-06-12 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL, 320341950, US 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL, 320341950, US

Contacts

Phone +1 904-277-2052
Fax 9042772083

Authorized person

Name WILLIAM L ROSS
Role BUSINESS OWNER
Phone 9042772052

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH6579
State FL
Is Primary No
Taxonomy Code 103T00000X - Psychologist
License Number PY4456
State FL
Is Primary No
Taxonomy Code 103T00000X - Psychologist
License Number PY2557
State FL
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW6913
State FL
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number PY2557
State FL
Is Primary Yes

Agent

Name Role Address
ROSS WILLIAM L Agent 4704 5TH ST W, BRADENTON, FL, 34207

Director

Name Role Address
ROSS WILLIAM L Director 4704 5TH ST W, BRADENTON, FL, 34207

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-05-01 4704 5TH ST W, BRADENTON, FL 34207 No data
CHANGE OF MAILING ADDRESS 2025-05-01 4704 5TH ST W, BRADENTON, FL 34207 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
Domestic Profit 2004-01-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State