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OKALOOSA SURGICAL ASSOCIATES, P.A. - Florida Company Profile

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Company Details

Entity Name: OKALOOSA SURGICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jul 1992 (33 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Apr 2002 (23 years ago)
Document Number: V49820
FEI/EIN Number 593130972
Address: 408 KELLY PLANTATION DRIVE, UNIT 1611, DESTIN, FL, 32541, US
Mail Address: 408 KELLY PLANTATION DRIVE, UNIT 1611, DESTIN, FL, 32541, US
ZIP code: 32541
City: Destin
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HANEY WILLIAM M President 408 KELLY PLANTATION DRIVE, DESTIN, FL, 32541
HANEY WILLIAM M Secretary 408 KELLY PLANTATION DRIVE, DESTIN, FL, 32541
HANEY WILLIAM M Treasurer 408 KELLY PLANTATION DRIVE, DESTIN, FL, 32541
HANEY WILLIAM M Director 408 KELLY PLANTATION DRIVE, DESTIN, FL, 32541
HUFF MARCUS AESQ. Agent 501 COMMENDENCIA STREET, PENSACOLA, FL, 32502

National Provider Identifier

NPI Number:
1194810762

Authorized Person:

Name:
WILLIAM MICHAEL HANEY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
8506780842

Form 5500 Series

Employer Identification Number (EIN):
593130972
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-27 408 KELLY PLANTATION DRIVE, UNIT 1611, DESTIN, FL 32541 -
CHANGE OF MAILING ADDRESS 2024-03-27 408 KELLY PLANTATION DRIVE, UNIT 1611, DESTIN, FL 32541 -
REGISTERED AGENT ADDRESS CHANGED 2024-03-27 501 COMMENDENCIA STREET, PENSACOLA, FL 32502 -
REGISTERED AGENT NAME CHANGED 2020-06-29 HUFF, MARCUS A, ESQ. -
REINSTATEMENT 2002-04-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-07-27
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State