| Entity Name: | HUGH WILKINSON, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jun 2011 (14 years ago) |
| Document Number: | P11000056870 |
| FEI/EIN Number | 452567683 |
| Address: | 5102 Pinehurst Drive, BOYNTON BEACH, FL, 33426, US |
| Mail Address: | 5102 Pinehurst drive, BOYNTON BEACH, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538433115 | 2012-02-29 | 2012-02-29 | 10416 SAINT GERMAIN CT, WELLINGTON, FL, 334498058, US | 2828 S SEACREST BLVD, SUITE 208, BOYNTON BEACH, FL, 334357944, US | |||||||||||||||||||||||||||
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| Phone | +1 561-516-0512 |
| Phone | +1 561-740-7970 |
| Fax | 5617407980 |
Authorized person
| Name | DR. HUGH A WILKINSON |
| Role | PRESIDENT |
| Phone | 5617407970 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME94184 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | FL 273894500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAW OFFICES OF MASHA K. BACH, P.A. | Agent | 17768 MAPLEWOOD DRIVE, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| WILKINSON HUGH | President | 2800 South Seacrest Blvd, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| WILKINSON HUGH | Vice President | 2800 South Seacrest Blvd, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| WILKINSON HUGH | Secretary | 2800 South Seacrest Blvd, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| WILKINSON HUGH | Treasurer | 2800 South Seacrest Blvd, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 5102 Pinehurst Drive, BOYNTON BEACH, FL 33426 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-29 | 5102 Pinehurst Drive, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
