| Entity Name: | URGENT CARE CENTER OF LONGWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 May 2007 (18 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 16 May 2019 (6 years ago) |
| Document Number: | L07000056218 |
| FEI/EIN Number | 208762699 |
| Address: | 450 W. ST. RD. 434, SUITE 1010, LONGWOOD, FL, 32750, US |
| Mail Address: | 450 W. ST. RD. 434, SUITE 1010, LONGWOOD, FL, 32750, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093905986 | 2007-07-27 | 2020-08-12 | 450 W STATE ROAD 434 STE 1010, LONGWOOD, FL, 327505187, US | 450 W STATE ROAD 434 STE 1010, LONGWOOD, FL, 327505187, US | |||||||||||||||||||||||
|
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| Phone | +1 407-212-3000 |
| Fax | 4072123001 |
Authorized person
| Name | DR. WASIM AHMAR |
| Role | OWNER |
| Phone | 4072123000 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | URGENT CARE-ACHA EXEMPT |
| Number | 247855139 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AHMAR WASIM | Agent | 450 W. ST. RD. 434, LONGWOOD, FL, 32750 |
| Name | Role | Address |
|---|---|---|
| Moreno Lissette | Manager | 450 W. STATE RD. 434, LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-16 | 450 W. ST. RD. 434, SUITE 1010, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-16 | AHMAR, WASIM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-16 | 450 W. ST. RD. 434, SUITE 1010, LONGWOOD, FL 32750 | No data |
| LC AMENDMENT AND NAME CHANGE | 2019-05-16 | URGENT CARE CENTER OF LONGWOOD, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-16 | 450 W. ST. RD. 434, SUITE 1010, LONGWOOD, FL 32750 | No data |
| CANCEL ADM DISS/REV | 2009-11-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-06-14 |
| LC Amendment and Name Change | 2019-05-16 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
