| Entity Name: | TIM R WILLIAMS MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Nov 2017 (7 years ago) |
| Document Number: | P17000088646 |
| FEI/EIN Number | 82-3304656 |
| Address: | 5280 LINTON BLVD, ATTN: EMINE OZBAY, DELRAY BEACH, FL 33484-6516 |
| Mail Address: | 5280 LINTON BLVD, ATTN: EMINE OZBAY, DELRAY BEACH, FL 33484-6516 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033622402 | 2017-11-08 | 2019-11-11 | 6274 LINTON BLVD STE 100, DELRAY BEACH, FL, 334846508, US | 5280 LINTON BLVD, DELRAY BEACH, FL, 334846516, US | |||||||||||||||||||||
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| Phone | +1 561-233-6500 |
| Fax | 5615847775 |
| Phone | +1 561-368-4998 |
Authorized person
| Name | EMINE OZBAY |
| Role | PRACTICE DIRECTOR |
| Phone | 5613236500 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIDSON, DAVID J | Agent | 151 NW 1st Avenue, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, TIMOTHY R | President | 5280 LINTON BLVD, DELRAY BEACH, FL 33484-6516 |
| Name | Role | Address |
|---|---|---|
| OZBAY, EMINE | Manager | 5280 LINTON BLVD, DELRAY BEACH, FL 33484-6516 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000120503 | SOUTH FLORIDA PROTON THERAPY INSTITUTE | ACTIVE | 2018-11-09 | 2028-12-31 | No data | 5280 LINTON BLVD, DELRAY BEACH, FL, 33484 |
| G17000126063 | PALM BEACH RADIATION ONCOLOGY | EXPIRED | 2017-11-15 | 2022-12-31 | No data | 6274 LINTON BLVD, STE 100, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-24 | 151 NW 1st Avenue, DELRAY BEACH, FL 33444 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-23 | 5280 LINTON BLVD, ATTN: EMINE OZBAY, DELRAY BEACH, FL 33484-6516 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-23 | 5280 LINTON BLVD, ATTN: EMINE OZBAY, DELRAY BEACH, FL 33484-6516 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-06 |
| AMENDED ANNUAL REPORT | 2018-11-23 |
| ANNUAL REPORT | 2018-07-19 |
| Domestic Profit | 2017-11-02 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
