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SUSAN C. WILLIAMS, PH.D., P.A. - Florida Company Profile

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Company Details

Entity Name: SUSAN C. WILLIAMS, PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Dec 2006 (19 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 13 Mar 2007 (18 years ago)
Document Number: P06000153427
FEI/EIN Number 208355364
Mail Address: 2141 PARK STREET, JACKSONVILLE, FL, 32204
Address: 2141 Park Street, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RILEY WILLIAMS Agent 2141 PARK STREET, JACKSONVILLE, FL, 32204
WILLIAMS RILEY Vice President 2141 PARK STREET, JACKSONVILLE, FL, 32204
WILLIAMS SUSAN C President 2141 PARK STREET, JACKSONVILLE, FL, 32204

National Provider Identifier

NPI Number:
1780971671
Certification Date:
2023-01-14

Authorized Person:

Name:
SUSAN CRAVEN WILLIAMS
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
9044250028

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-13 2141 Park Street, JACKSONVILLE, FL 32204 -
CHANGE OF MAILING ADDRESS 2010-01-14 2141 Park Street, JACKSONVILLE, FL 32204 -
REGISTERED AGENT ADDRESS CHANGED 2010-01-14 2141 PARK STREET, JACKSONVILLE, FL 32204 -
NAME CHANGE AMENDMENT 2007-03-13 SUSAN C. WILLIAMS, PH.D., P.A. -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-02-20
ANNUAL REPORT 2015-01-13

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State