| Entity Name: | WOODLANDS MEDICAL SPECIALISTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jan 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Jun 2016 (9 years ago) |
| Document Number: | P08000001557 |
| FEI/EIN Number | 261802830 |
| Address: | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503, US |
| Mail Address: | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831424829 | 2009-10-08 | 2009-10-08 | 4724 N DAVIS HWY, PENSACOLA, FL, 325032339, US | 1114 GULF BREEZE PKWY, GULF BREEZE, FL, 325614836, US | |||||||||||||||||
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| Phone | +1 850-696-4000 |
| Fax | 8504342647 |
| Phone | +1 850-934-7880 |
Authorized person
| Name | THOMAS B TAN |
| Role | PRESIDENT |
| Phone | 8506964000 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300QP86ERQKQFTD88 | P08000001557 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Barfield, Bethany, 4724 North Davis Highway, Pensacola, US-FL, US, 32503 |
| Headquarters | 4724 North Davis Highway, Pensacola, US-FL, US, 32503 |
Registration details
| Registration Date | 2013-04-01 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2017-03-08 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | P08000001557 |
| Name | Role | Address |
|---|---|---|
| DOLIHITE CRIS | Agent | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| Cruz-Caban Emmanuel MD | Director | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| OWERA RAMI | President | 4724 NORTH DAVIS HWY, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| PATEL SHAILESH MD | Treasurer | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| Ryan Mark MD | Secretary | 4724 NORTH DAVID HWY, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| Wolters Jeffrey | Vice President | 4724 N Davis Hwy, Pensacola, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-03-11 | DOLIHITE, CRIS | No data |
| AMENDMENT | 2016-06-13 | No data | No data |
| MERGER | 2015-08-27 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000153911 |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-10 | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-10 | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-10 | 4724 NORTH DAVIS HIGHWAY, PENSACOLA, FL 32503 | No data |
| NAME CHANGE AMENDMENT | 2008-11-03 | WOODLANDS MEDICAL SPECIALISTS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-01-20 |
| Off/Dir Resignation | 2016-06-13 |
| Amendment | 2016-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
