| Entity Name: | ELLIS L. WEBSTER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 1998 (27 years ago) |
| Document Number: | P98000065558 |
| FEI/EIN Number | 650902359 |
| Address: | 12959 PALMS WEST DRIVE, SUITE 220, LOXAHATCHEE, FL, 33470 |
| Mail Address: | P O BOX 358, LOXAHATCHEE, FL, 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366479842 | 2006-06-28 | 2020-08-22 | 13005 SOUTHERN BLVD, SUITE 131, LOXAHATCHEE, FL, 334709206, US | 13005 SOUTHERN BLVD, SUITE 131, LOXAHATCHEE, FL, 334709206, US | |||||||||||||||
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| Phone | +1 561-793-5077 |
| Fax | 5617848243 |
Authorized person
| Name | ELLIS L WEBSTER |
| Role | PRESIDENT |
| Phone | 5617935077 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEBSTER ELLIS L | Agent | 12959 PALMS WEST DRIVE, LOXACHATHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| WEBSTER ELLIS L | President | 12959 PALMS WEST DRIVE, SUITE 220, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-14 | 12959 PALMS WEST DRIVE, SUITE 220, LOXAHATCHEE, FL 33470 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-14 | 12959 PALMS WEST DRIVE, SUITE 220, LOXACHATHEE, FL 33470 | No data |
| CHANGE OF MAILING ADDRESS | 2000-01-20 | 12959 PALMS WEST DRIVE, SUITE 220, LOXAHATCHEE, FL 33470 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-02-13 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
