| Entity Name: | WHITE-WILSON ASSOCIATION, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WHITE-WILSON ASSOCIATION, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 May 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Apr 2016 (9 years ago) |
| Document Number: | P07000056377 |
| FEI/EIN Number |
26-0152605
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547, US |
| Mail Address: | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831846336 | 2022-03-04 | 2022-03-04 | 1005 MAR WALT DR, FORT WALTON BEACH, FL, 325476707, US | 999 MAR WALT DR, FORT WALTON BEACH, FL, 325476758, US | |||||||||||||||||||||||||||
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| Phone | +1 850-863-8150 |
| Fax | 8508634152 |
Authorized person
| Name | ALAN L GIESEMAN |
| Role | CEO |
| Phone | 8508638150 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE |
| Number | 99017 |
| State | FL |
| Issuer | MEDICAID |
| Number | 059722800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dali John CMD | President | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Hansen Christopher MMD | Vice President | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Nagda Krishan MD | Chairman | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Henry Aaron MD | Treasurer | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Brown Vergil MD | Secretary | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| PERSAUD KENNETH MD | Agent | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | PERSAUD, KENNETH, MD | - |
| AMENDMENT | 2016-04-08 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-07-14 | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF MAILING ADDRESS | 2008-07-14 | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-14 | 1005 MAR-WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-25 |
| Amendment | 2016-04-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
