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WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC - Florida Company Profile

Company Details

Entity Name: WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 29 Nov 2005 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Oct 2011 (14 years ago)
Document Number: L05000114006
FEI/EIN Number 203850058

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

Address: 41 FELI WAY, CRAWFORDVILLE, FL, 32327, US
Mail Address: 41 FELI WAY, CRAWFORDVILLE, FL, 32327, US
ZIP code: 32327
County: Wakulla
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215509344 2021-07-16 2021-07-16 41 FELI WAY, CRAWFORDVILLE, FL, 323272368, US 41 FELI WAY, CRAWFORDVILLE, FL, 323272368, US

Contacts

Phone +1 850-926-3140
Fax 8509263163

Authorized person

Name DAVID ANTHONY KEEN
Role MANAGER
Phone 8509263140

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 002074401
State FL

Key Officers & Management

Name Role Address
KEEN DAVID Manager 41 FELI WAY, CRAWFORDVILLE, FL, 32327
KEEN DAVID Agent 41 FELI WAY, CRAWFORDVILLE, FL, 32327

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-14 41 FELI WAY, CRAWFORDVILLE, FL 32327 -
REGISTERED AGENT ADDRESS CHANGED 2014-03-14 41 FELI WAY, CRAWFORDVILLE, FL 32327 -
CHANGE OF MAILING ADDRESS 2014-03-14 41 FELI WAY, CRAWFORDVILLE, FL 32327 -
REINSTATEMENT 2011-10-18 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
CANCEL ADM DISS/REV 2008-10-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CANCEL ADM DISS/REV 2007-12-31 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-02-22
ANNUAL REPORT 2016-02-11
ANNUAL REPORT 2015-01-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4204827309 2020-04-29 0491 PPP 41 FELI WAY, CRAWFORDVILLE, FL, 32327
Loan Status Date 2021-11-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 87468.35
Loan Approval Amount (current) 87468.35
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CRAWFORDVILLE, WAKULLA, FL, 32327-0001
Project Congressional District FL-02
Number of Employees 12
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 88400.55
Forgiveness Paid Date 2021-10-21

Date of last update: 02 Apr 2025

Sources: Florida Department of State