| Entity Name: | THOMAS URGENT CARE SYSTEMS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jul 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L07000075912 |
| FEI/EIN Number | 260571481 |
| Address: | 12021 WHITMARSH LN, TAMPA, FL, 33626-1737, US |
| Mail Address: | 12021 WHITMARSH LN, TAMPA, FL, 33626-1737, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1609053461 | 2008-01-23 | 2018-06-21 | 12021 WHITMARSH LN, TAMPA, FL, 336261737, US | 12021 WHITMARSH LN, TAMPA, FL, 336261737, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-749-2800 |
| Fax | 8138558362 |
Authorized person
| Name | DR. STANLEY M THOMAS |
| Role | PHYSICIAN |
| Phone | 8137492800 |
Taxonomy
| Taxonomy Code | 261QE0002X - Emergency Care Clinic/Center |
| License Number | ME82489 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME82489 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME82489 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME82489 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME82489 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | ME82489 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AMERIGROUP |
| Number | 222672 |
| State | FL |
| Issuer | MEDICAID |
| Number | 263232200 |
| State | FL |
| Issuer | CHAMPUS |
| Number | 514769328 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 04002 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00289057 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMAS STANLEY M | Agent | 12021 WHITMARSH LN, TAMPA, FL, 336261737 |
| Name | Role | Address |
|---|---|---|
| THOMAS STANLEY M | Manager | 12021 WHITMARSH LN, TAMPA, FL, 336261737 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08035900364 | THOMAS WESTCHASE URGENT CARE | EXPIRED | 2008-02-04 | 2013-12-31 | No data | 502 S. FREMONT AVENUE, SUITE 813, TAMPA, FL, 33606 |
| G08035900365 | WESTCHASE URGENT CARE | EXPIRED | 2008-02-04 | 2013-12-31 | No data | 502 S. FREMONT AVENUE, SUITE 813, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-29 | 12021 WHITMARSH LN, TAMPA, FL 33626-1737 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-29 | 12021 WHITMARSH LN, TAMPA, FL 33626-1737 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-29 | THOMAS, STANLEY M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-29 | 12021 WHITMARSH LN, TAMPA, FL 33626-1737 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-29 |
| Florida Limited Liability | 2007-07-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
