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LAVENDER HEALTH CARE OF FLORIDA, LLLP - Florida Company Profile

Company Details

Entity Name: LAVENDER HEALTH CARE OF FLORIDA, LLLP
Jurisdiction: FLORIDA
Filing Type: Domestic Limited Partnership
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: 28 May 2010 (15 years ago)
Document Number: A10000000311
FEI/EIN Number 272743891

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239, US
Mail Address: 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239, US
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811210735 2010-03-05 2021-04-27 2901 S TAMIAMI TRL, SARASOTA, FL, 342395106, US 2901 S TAMIAMI TRL, SARASOTA, FL, 342395106, US

Contacts

Phone +1 727-688-6951
Fax 9413644371

Authorized person

Name DR. ERIC BUETE
Role CHIEF MEDICAL OFFICER
Phone 7276886951

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer HEALTH CARE CLINIC LICENSE
Number HCC8996
State FL
Issuer CLIA NUMBER
Number 10D2012734
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAVENDER HEALTH CARE 401K 2023 272743891 2024-06-26 LAVENDER HEALTH CARE OF FLORIDA, LLLP 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-09-01
Business code 621498
Sponsor’s telephone number 9415395000
Plan sponsor’s address 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239

Signature of

Role Plan administrator
Date 2024-06-26
Name of individual signing RICHARD LEE KIMSEY
Valid signature Filed with authorized/valid electronic signature
LAVENDER HEALTH CARE 401K 2022 272743891 2023-05-27 LAVENDER HEALTH CARE OF FLORIDA, LLLP 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-09-01
Business code 621498
Sponsor’s telephone number 9415395000
Plan sponsor’s address 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing RICHARD LEE KIMSEY
Valid signature Filed with authorized/valid electronic signature
LAVENDER HEALTH CARE 401K 2021 272743891 2022-05-20 LAVENDER HEALTH CARE OF FLORIDA, LLLP 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-09-01
Business code 621498
Sponsor’s telephone number 9415395000
Plan sponsor’s address 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing RICHARD LEE KIMSEY
Valid signature Filed with authorized/valid electronic signature
LAVENDER HEALTH CARE 401K 2020 272743891 2021-05-05 LAVENDER HEALTH CARE OF FLORIDA, LLLP 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-09-01
Business code 621498
Sponsor’s telephone number 9415395000
Plan sponsor’s address 2901 S. TAMIAMI TRI., SARASOTA, FL, 34239

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing RICHARD LEE KIMSEY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KIMSEY RICHARD LEE Agent 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000057670 DOCTORS EXPRESS ACTIVE 2023-05-07 2028-12-31 - 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
G16000132202 AFC URGENT CARE ACTIVE 2016-12-08 2026-12-31 - 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
G16000048335 AMERICAN FAMILY CARE ACTIVE 2016-05-13 2026-12-31 - 2901 S. TAMIAMI TRAIL, SARASOTA, FL, 34239

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-03-16 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 -
CHANGE OF MAILING ADDRESS 2011-03-16 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 -
REGISTERED AGENT ADDRESS CHANGED 2011-03-16 2901 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-09
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1079177300 2020-04-28 0455 PPP 2901 TAMIAMI TRL, SARASOTA, FL, 34239-5106
Loan Status Date 2022-02-03
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 167052
Loan Approval Amount (current) 167052
Undisbursed Amount 0
Franchise Name American Family Care/AFC Urgent Care f/k/a Doctor's Express
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address SARASOTA, SARASOTA, FL, 34239-5106
Project Congressional District FL-17
Number of Employees 17
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 444142
Originating Lender Name Seacoast National Bank
Originating Lender Address Sarasota, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 168063.59
Forgiveness Paid Date 2020-12-09
2578168303 2021-01-21 0455 PPS 2901 S Tamiami Trl, Sarasota, FL, 34239-5106
Loan Status Date 2021-10-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 216682
Loan Approval Amount (current) 216682
Undisbursed Amount 0
Franchise Name American Family Care/AFC Urgent Care f/k/a Doctor's Express
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Sarasota, SARASOTA, FL, 34239-5106
Project Congressional District FL-17
Number of Employees 37
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 444142
Originating Lender Name Seacoast National Bank
Originating Lender Address Sarasota, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 217566.78
Forgiveness Paid Date 2021-06-23

Date of last update: 01 Apr 2025

Sources: Florida Department of State