| Entity Name: | PREMIER URGENT CARE OF BREVARD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Feb 2006 (19 years ago) |
| Document Number: | L06000016844 |
| FEI/EIN Number | 204361098 |
| Address: | 6300 N. WICKHAM ROAD, SUITE 108, MELBOURNE, FL, 32940 |
| Mail Address: | 6300 N. WICKHAM ROAD, SUITE 108, MELBOURNE, FL, 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396820742 | 2006-10-26 | 2007-10-22 | 6300 N WICKHAM RD, SUITE 108, MELBOURNE, FL, 329402028, US | 6300 N WICKHAM RD, SUITE 108, MELBOURNE, FL, 329402028, US | |||||||||||||||
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| Phone | +1 321-253-2169 |
| Fax | 3212531720 |
Authorized person
| Name | DR. STEPHEN K BADOLATO |
| Role | PHYSICIAN/OWNER |
| Phone | 3212532169 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PLACYK CRISTINA | Agent | 6300 N WICKHAM ROAD, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| BADOLATO STEPHEN K | Managing Member | 6300 N WICKHAM ROAD, STE. 101, MELBOURNE, FL, 32940 |
| BADOLATO DAVID W | Managing Member | 6300 N WICKHAM ROAD, STE. 101, MELBOURNE, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000039683 | PREMIER URGENT CARE AT SUNTREE | EXPIRED | 2012-04-26 | 2017-12-31 | No data | 6300 N. WICKHAM RD., SUITE 108, MELBOURNE, FL, 32940 |
| G12000039709 | PREMIER URGENT CARE AT VIERA | EXPIRED | 2012-04-26 | 2017-12-31 | No data | 6300 N. WICKHAM RD., SUITE 108, MELBOURNE, FL, 32940 |
| G12000039760 | PREMIER URGENT CARE AT SUNTREE/VIERA | EXPIRED | 2012-04-26 | 2017-12-31 | No data | 6300 N. WICKHAM RD., SUITE 108, MELBOURNE, FL, 32940 |
| G05024900417 | PREMIER URGENT CARE | ACTIVE | 2005-01-24 | 2025-12-31 | No data | 6300 N. WICKHAM RD., SUITE 101, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-04-26 | 6300 N. WICKHAM ROAD, SUITE 108, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-02 | PLACYK, CRISTINA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-15 | 6300 N. WICKHAM ROAD, SUITE 108, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-05-01 | 6300 N WICKHAM ROAD, SUITE 101, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
