| Entity Name: | URGENT CARE CENTER OF SOUTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 May 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L05000053657 |
| FEI/EIN Number | 202923324 |
| Address: | 1708 Cape Coral Parkway West, Cape Coral, FL, 33914, US |
| Mail Address: | 12717 Brewster Drive, Fort Myers, FL, 33908, US |
| ZIP code: | 33914 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780833509 | 2008-09-17 | 2008-09-17 | PO BOX 60159, FORT MYERS, FL, 339066159, US | 1708 CAPE CORAL PKWY W, SUITE 2, CAPE CORAL, FL, 339146985, US | |||||||||||||||||||
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| Phone | +1 239-333-3333 |
Authorized person
| Name | LARRY HOBBS |
| Role | PRESIDENT |
| Phone | 8886806124 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | B911C |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| URGENT CARE CENTER OF SOUTHWEST FLORIDA 401K PROFIT SHARING AND TRUST | 2009 | 202923324 | 2011-02-08 | URGENT CARE CENTER OF SOUTHWEST FLORIDA | 33 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 202923324 |
| Plan administrator’s name | URGENT CARE CENTER OF SOUTHWEST FLORIDA |
| Plan administrator’s address | 1708 CAPE CORAL PARKWAY WEST, SUITE # 2, CAPE CORAL, FL, 33914 |
| Administrator’s telephone number | 2393333338 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-08 |
| Name of individual signing | RITA SMITH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2393333338 |
| Plan sponsor’s mailing address | 1708 CAPE CORAL PARKWAY WEST, SUITE # 2, CAPE CORAL, FL, 33914 |
| Plan sponsor’s address | 1708 CAPE CORAL PARKWAY WEST, SUITE # 2, CAPE CORAL, FL, 33914 |
Plan administrator’s name and address
| Plan administrator’s name | SAME |
Number of participants as of the end of the plan year
| Active participants | 33 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 7 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 1 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-08 |
| Name of individual signing | RITA SMITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HOBBS LARRY A | Agent | 12717 BREWSTER DRIVE, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| JOHNSON THOMAS B | Managing Member | 6423 COCOS DRIVE, FORT MYERS, FL, 33908 |
| PHELPS DWIGHT S | Managing Member | 1708 Cape Coral Parkway West, Cape Coral, FL, 33914 |
| SIMMONS WALTER D | Managing Member | 1708 Cape Coral Parkway West, Cape Coral, FL, 33914 |
| HOBBS LARRY A | Managing Member | 12717 BREWSTER DRIVE, FT. MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-08 | 1708 Cape Coral Parkway West, 2, Cape Coral, FL 33914 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-22 | 1708 Cape Coral Parkway West, 2, Cape Coral, FL 33914 | No data |
| LC AMENDMENT | 2006-11-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-02-26 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-02-04 |
| ANNUAL REPORT | 2012-02-15 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
