| Entity Name: | ROBERT C. URBAN, JR., M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2003 (22 years ago) |
| Document Number: | L03000009533 |
| FEI/EIN Number | 481304236 |
| Address: | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL, 34677 |
| Mail Address: | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL, 34677 |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740298926 | 2006-08-04 | 2022-08-04 | 5425 WATER ST, NEW PORT RICHEY, FL, 346524030, US | 5425 WATER ST, NEW PORT RICHEY, FL, 346524030, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 727-807-7090 |
| Fax | 7278077076 |
Authorized person
| Name | DR. ROBERT CHARLES URBAN JR. |
| Role | OWNER/DOCTOR |
| Phone | 7278077090 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | No |
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME63362 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD FL |
| Number | 18181 |
| State | FL |
| Issuer | MEDICAID |
| Number | 371540000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| URBAN ROBERT C | Agent | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| URBAN ROBERT C | Manager | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL, 34677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000131032 | URBAN EYE CARE | ACTIVE | 2016-12-07 | 2026-12-31 | No data | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2006-05-02 | URBAN, ROBERT CJR. MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-02 | 4993 TURTLE CREEK TRAIL, OLDSMAR, FL 34677 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-05-26 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-09-15 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
