| Entity Name: | MATURITY MEDICAL OF PINELLAS, PROFESSIONAL ASSOCIATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Mar 1996 (29 years ago) |
| Document Number: | P96000021302 |
| FEI/EIN Number | 593367370 |
| Address: | 6101 DR. MARTIN LUTHER KING JR. ST. NORTH, ST. PETERSBURG, FL, 33703, US |
| Mail Address: | 6101 DR. MARTIN LUTHER KING JR. ST. NORTH, ST PETERSBURG, FL, 33703, US |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063698744 | 2008-01-13 | 2024-01-04 | 6101 DR MLK JR ST N, SAINT PETERSBURG, FL, 33703, US | 6101 DR MLK JR ST N, SAINT PETERSBURG, FL, 337033370, US | |||||||||||||||||||||
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| Phone | +1 727-527-6200 |
| Fax | 7275273526 |
| Fax | 7275276200 |
Authorized person
| Name | OSWALD A WILLIAMS |
| Role | MD |
| Phone | 7275276200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME62503 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GASSMAN ALAN E | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS OSWALD A | Director | 34149 ST JOE RD, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| Williams Oswald ADr. | President | 6101 MLK Jr Street N, St Petersburg, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-02-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2004-03-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| AMENDMENT | 1996-04-05 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000219881 | LAPSED | 17-008533-CO | PINELLAS COUNTY COURT CLERK | 2018-05-03 | 2023-06-04 | $12,230.82 | MCKESSON MEDICAL-SURGICAL TOP, 4345 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| J18000450882 | LAPSED | 18-003961 CO | PINELLAS COUNTY | 2018-03-26 | 2023-06-29 | $10,328.46 | BALBOA CAPITAL CORPORATION, 575 ANTON BLVD., 12TH FLOOR, COSTA MESA, CA 92626 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
