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ST. LUCIE MEDICAL CENTER WALK-IN CLINIC, LLC

Company Details

Entity Name: ST. LUCIE MEDICAL CENTER WALK-IN CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 14 Sep 2006 (18 years ago)
Date of dissolution: 07 Oct 2020 (4 years ago)
Last Event: LC STMNT OF TERM
Event Date Filed: 07 Oct 2020 (4 years ago)
Document Number: L06000090685
FEI/EIN Number 14-1977091
Address: ONE PARK PLAZA, NASHVILLE, TN 37203
Mail Address: ONE PARK PLAZA - LEGAL DEPARTMENT, NASHVILLE, TN 37203
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851444350 2007-01-19 2008-05-20 140 SW CHAMBER CT, SUITE 100, PORT ST LUCIE, FL, 349863496, US 140 SW CHAMBER CT, SUITE 100, PORT ST LUCIE, FL, 349863496, US

Contacts

Phone +1 772-873-0303
Fax 7728730353

Authorized person

Name GARY DUNCAN
Role VP
Phone 7728730303

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
FRANCK II, JOHN M Manager ONE PARK PLAZA, NASHVILLE, TN 37203
RUTHERFORD, WILLIAM B Manager ONE PARK PLAZA, NASHVILLE, TN 37203
WYATT, CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN 37203

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09044900381 OSLO ROAD PRIMARY CARE EXPIRED 2009-02-13 2014-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
LC STMNT OF TERM 2020-10-07 No data No data
VOLUNTARY DISSOLUTION 2020-09-29 No data No data

Documents

Name Date
CORLCSTERM 2020-10-07
VOLUNTARY DISSOLUTION 2020-09-29
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-04-29
ANNUAL REPORT 2013-04-24

Date of last update: 02 Jan 2025

Sources: Florida Department of State