| Entity Name: | URGENT CARE AMERICA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Oct 2006 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Feb 2009 (16 years ago) |
| Document Number: | L06000096294 |
| FEI/EIN Number | 205922515 |
| Address: | 10 Pine Manor Dr, Ponte Vedra, FL, 32081, US |
| Mail Address: | 10 Pine Manor Dr, Ponte Vedra, FL, 32081, US |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972796837 | 2007-08-23 | 2012-11-15 | PO BOX 15853, TALLAHASSEE, FL, 323085853, US | 1554 SURGEONS DR, TALLAHASSEE, FL, 323084631, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-766-3835 |
| Fax | 2292499771 |
Authorized person
| Name | DR. MARK HASH |
| Role | MGRM |
| Phone | 8507663835 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS 7744 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 268637600 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | AL205 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| URGENT CARE AMERICA 401K PROFIT PLAN & TRUST | 2014 | 262268147 | 2015-08-05 | URGENT CARE AMERICA LLC | 17 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-08-05 |
| Name of individual signing | MONICA VECINO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2394153222 |
| Plan sponsor’s address | 9410 CORKSCREW PALMS CIRCLE, ESTERO, FL, 33928 |
Signature of
| Role | Plan administrator |
| Date | 2014-08-15 |
| Name of individual signing | MONICA VECINO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HASH MARK T | Agent | 10 Pine Manor Dr, Ponte Vedra, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| Hash Mark T | Director | 10 Pine Manor Dr, Ponte Vedra, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| Hash Mark T | Managing Member | 10 Pine Manor Dr, Ponte Vedra, FL, 32081 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-24 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-24 | HASH, MARK T | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-24 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-24 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-09 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-05 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-05 | 10 Pine Manor Dr, Ponte Vedra, FL 32081 | No data |
| LC AMENDMENT | 2009-02-04 | No data | No data |
| LC AMENDMENT | 2008-07-02 | No data | No data |
| LC AMENDMENT | 2008-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| AMENDED ANNUAL REPORT | 2024-09-09 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
