| Entity Name: | BAYCARE URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2005 (20 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 24 Dec 2014 (10 years ago) |
| Document Number: | L05000033822 |
| FEI/EIN Number | 202928709 |
| Address: | 8452 118TH AVENUE N., LARGO, FL, 33773, US |
| Mail Address: | 8452 118TH AVENUE N., LARGO, FL, 33773, US |
| ZIP code: | 33773 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114687688 | 2021-12-27 | 2021-12-27 | 2995 DREW ST FL 2, CLEARWATER, FL, 337593012, US | 18610 FERNVIEW STREET, LAND O LAKES, FL, 346386212, US | |||||||||||||||||||||||||||
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| Phone | +1 727-281-9065 |
| Fax | 8136352613 |
Authorized person
| Name | LYNDA GORKEN |
| Role | VP, PATIEND FINANCIAL SERVICES |
| Phone | 7272819202 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | K8617A |
| State | FL |
| Issuer | MEDICAID |
| Number | PENDING |
| State | FL |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000055055 | BAYCARE URGENT CARE | EXPIRED | 2014-06-09 | 2024-12-31 | No data | 8452 118TH AVENUE N., LARGO, FL, 33773 |
| G13000128344 | BAYCARE MEDICAL GROUP | EXPIRED | 2013-12-30 | 2018-12-31 | No data | 4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-27 | BAYCARE HEALTH SYSTEM, INC. | No data |
| LC AMENDMENT AND NAME CHANGE | 2014-12-24 | BAYCARE URGENT CARE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-11 | 8452 118TH AVENUE N., LARGO, FL 33773 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-11 | 8452 118TH AVENUE N., LARGO, FL 33773 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-11 | ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 | No data |
| NAME CHANGE AMENDMENT | 2005-08-26 | MPM IMMEDIATE CARE CENTERS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
