| Entity Name: | TAMMY KALIKO WILLINGHAM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Apr 2005 (20 years ago) |
| Date of dissolution: | 02 Aug 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 02 Aug 2012 (13 years ago) |
| Document Number: | P05000059357 |
| FEI/EIN Number | 412204045 |
| Address: | 151 TERRACE SHORES, INDIALANTIC, FL, 32903, UN |
| Mail Address: | 151 TERRACE SHORES DRIVE, INDIALANTIC, FL, 32903 |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265668511 | 2009-06-01 | 2009-06-01 | 151 TERRACE SHORES DR, INDIALANTIC, FL, 329032705, US | 151 TERRACE SHORES DR, INDIALANTIC, FL, 329032705, US | |||||||||||||||||
|
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| Phone | +1 321-984-2789 |
Authorized person
| Name | MS. TAMMY KALIKO WILLINGHAM |
| Role | PRESIDENT |
| Phone | 3219842789 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | SA8192 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BICKFORD ROBERT E | Agent | 637 DENISE DRIVE, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| WILLINGHAM TAMMY K | President | 151 TERRACE SHORES DRIVE, INDIALANTIC, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| WILLINGHAM TAMMY K | Secretary | 151 TERRACE SHORES DRIVE, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2012-08-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-11 | 151 TERRACE SHORES, INDIALANTIC, FL 32903 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-07 | 637 DENISE DRIVE, MELBOURNE, FL 32935 | No data |
| CANCEL ADM DISS/REV | 2006-11-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2012-08-02 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-03-22 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-05-02 |
| ANNUAL REPORT | 2007-05-03 |
| REINSTATEMENT | 2006-11-13 |
| Domestic Profit | 2005-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
