| Entity Name: | MARK M. WILLIAMS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARK M. WILLIAMS, M.D., 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: | 24 Mar 1998 (27 years ago) |
| Document Number: | P98000028241 |
| FEI/EIN Number |
593501407
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 21c Orinda Way, Orinda, CA, 94563, US |
| Mail Address: | 21c Orinda Way, Orinda, CA, 94563, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457547523 | 2007-09-21 | 2020-02-01 | 2202 COUNTRY CLUB DR, LYNN HAVEN, FL, 324441992, US | 2202 COUNTRY CLUB DR, LYNN HAVEN, FL, 324441992, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 850-769-2757 |
| Fax | 8883748684 |
| Phone | +1 850-381-1010 |
Authorized person
| Name | DR. MARK M WILLIAMS |
| Role | PRESIDENT |
| Phone | 8507692757 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0057987 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 372895100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Williams Mark MDr. | President | 21C Orinda Way, #367, Orinda, CA, 94563 |
| TAYLOR CHUCK | Agent | 2589 JENKS AVENUE, PANAMA CITY, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000042049 | WILLIAMS SHOULDER AND SPORTS MEDICINE | EXPIRED | 2016-04-26 | 2021-12-31 | - | 320 EAST 19TH STREET, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-02 | 21c Orinda Way, 367, Orinda, CA 94563 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-02 | 21c Orinda Way, 367, Orinda, CA 94563 | - |
| REGISTERED AGENT NAME CHANGED | 2016-01-23 | TAYLOR, CHUCK | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-05-03 | 2589 JENKS AVENUE, PANAMA CITY, FL 32405 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
