| Entity Name: | MEDEXPRESS URGENT CARE OF PALM BEACH GARDENS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2006 (19 years ago) |
| Date of dissolution: | 29 Jun 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 29 Jun 2012 (13 years ago) |
| Document Number: | L06000048951 |
| FEI/EIN Number | 205005892 |
| Address: | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750440475 | 2006-12-08 | 2012-01-30 | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL, 33410, US | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL, 33410, US | |||||||||||||||||||||||
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| Phone | +1 561-776-3090 |
Authorized person
| Name | NEIL PATRICK MORANDI |
| Role | REGIONAL PRESIDENT |
| Phone | 5617763090 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | HCC5410 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | HCC5410 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STUCHELL BRYAN K | Agent | 1021 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| STUCHELL BRYAN K | Managing Member | 1021 N. STATE ROAD 7, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-06-29 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L05000121404. MERGER NUMBER 300000123753 |
| REGISTERED AGENT NAME CHANGED | 2012-03-21 | STUCHELL, BRYAN KM.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-19 | 1021 N. STATE ROAD 7, ROYAL PALM BEACH, FL 33411 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-02-04 | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-04 | 4520 DONALD ROSS RD, SUITE 100, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-04-19 |
| Reg. Agent Change | 2010-01-19 |
| ANNUAL REPORT | 2009-04-07 |
| ANNUAL REPORT | 2008-02-04 |
| ANNUAL REPORT | 2007-04-16 |
| Florida Limited Liability | 2006-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
