Entity Name: | URGENT CARE PHYSICIANS OF WEST KENDALL, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 Mar 2007 (18 years ago) |
Last Event: | LC ARTICLE OF CORRECTION/NAME CHANGE |
Event Date Filed: | 13 Apr 2007 (18 years ago) |
Document Number: | L07000030695 |
FEI/EIN Number | 208708762 |
Address: | 6200 Sunset Dr, STE 302, South Miami, FL, 33143, US |
Mail Address: | 6200 Sunset Dr, STE 302, South Miami, FL, 33143, US |
ZIP code: | 33143 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1508989757 | 2007-04-10 | 2024-02-26 | PO BOX 162847, ALTAMONTE SPRINGS, FL, 327162847, US | 13001 SW 88TH ST, MIAMI, FL, 331861708, US | |||||||||||||||||||||||||||
|
Phone | +1 786-888-8820 |
Fax | 7865916025 |
Phone | +1 786-596-3800 |
Authorized person
Name | DAVID RAYMOND NATEMAN |
Role | OWNER |
Phone | 7868888820 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 278548000 |
State | FL |
Issuer | BCBS FL |
Number | 39169 |
Name | Role | Address |
---|---|---|
NATEMAN DAVID R | Agent | 6200 Sunset Dr, South Miami, FL, 33143 |
Name | Role | Address |
---|---|---|
NATEMAN DAVID R | Manager | 6200 Sunset Dr, South Miami, FL, 33143 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-02-12 | 6200 Sunset Dr, STE 302, South Miami, FL 33143 | No data |
CHANGE OF MAILING ADDRESS | 2020-02-12 | 6200 Sunset Dr, STE 302, South Miami, FL 33143 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-02-12 | 6200 Sunset Dr, STE 302, South Miami, FL 33143 | No data |
REGISTERED AGENT NAME CHANGED | 2008-03-12 | NATEMAN, DAVID R | No data |
LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2007-04-13 | URGENT CARE PHYSICIANS OF WEST KENDALL, LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-29 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-13 |
ANNUAL REPORT | 2020-02-12 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-01-15 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-01-22 |
ANNUAL REPORT | 2015-01-06 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State