| Entity Name: | A PLUS URGENT CARE OF HOLLYWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
A PLUS URGENT CARE OF HOLLYWOOD, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Jul 2007 (18 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L07000077176 |
| FEI/EIN Number |
412247275
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1971 NE 123rd street, NorthMiami, FL, 33181, US |
| Mail Address: | 1971 NE 123rd street, NorthMiami, FL, 33181, US |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780930461 | 2012-07-31 | 2012-07-31 | 1531 N FEDERAL HWY, HOLLYWOOD, FL, 330202849, US | 1531 N FEDERAL HWY, HOLLYWOOD, FL, 330202849, US | |||||||||||||||||||||||||||
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| Phone | +1 954-922-1270 |
| Fax | 9549221273 |
Authorized person
| Name | MR. ALEKSANDR KRUCHAKOV |
| Role | MGMR |
| Phone | 9549221270 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6252 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1714 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOETZ DEREK | Managing Member | 12555 Biscayne blvd, NorthMiami, FL, 33181 |
| Goetz Derek | Agent | 12555 Biscayne blvd, NorthMiami, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-06-08 | 12555 Biscayne blvd, # 967, NorthMiami, FL 33181 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-08 | 1971 NE 123rd street, NorthMiami, FL 33181 | - |
| CHANGE OF MAILING ADDRESS | 2019-06-08 | 1971 NE 123rd street, NorthMiami, FL 33181 | - |
| REGISTERED AGENT NAME CHANGED | 2014-05-29 | Goetz, Derek | - |
| LC AMENDMENT | 2010-10-04 | - | - |
| CANCEL ADM DISS/REV | 2009-10-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| LC NAME CHANGE | 2007-08-10 | A PLUS URGENT CARE OF HOLLYWOOD, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-05-02 |
| ANNUAL REPORT | 2020-06-28 |
| AMENDED ANNUAL REPORT | 2019-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-22 |
| AMENDED ANNUAL REPORT | 2014-05-29 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 337809826 | 0418800 | 2012-12-12 | 1531 N FEDERAL HWY, HOLLYWOOD, FL, 33020 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19101030 D02 I |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-02-13 |
| Current Penalty | 1200.0 |
| Initial Penalty | 2000.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employees exposure: On or about 12/12/2012, the employer, A Plus Urgent Care of Hollywood, did not use safer medical devices for injections that would minimize employees' exposure to needlestick injuries. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 IV |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-01-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated when necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure: On or about 12-12-12, the employer did not make updates to the exposure control plan to reflect the new employee positions, medical assistant and physician assistant, with occupational exposure to bloodborne pathogens. |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 IV B |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-02-06 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: On or about 12/12/12, the employer did not annually document any consideration given to commercially available safer devices. |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-02-06 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: On or about 12/12/12, the employer did not solicit input, with respect to the medical devices in use, from non-managerial front-line employees who were required to use them. |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19101030 F02 IV |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-01-23 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(f)(2)(iv): The employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in appendix A. On or about 12-12-12, employees who declined the hepatitis B vaccine were not asked to sign a declination form. |
| Citation ID | 02005 |
| Citaton Type | Other |
| Standard Cited | 19101030 G02 II A |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-01-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(g)(2)(ii)(A): The employer did not ensure that training was provided to employees with occupational exposure at the time of initial assignment to tasks where occupational exposure might take place: On or about 12-12-12, it was determined that the employer did not provide training to employees who were potentially exposed to bloodborne pathogens. |
| Citation ID | 02006 |
| Citaton Type | Other |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2013-01-10 |
| Abatement Due Date | 2013-01-30 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-01 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: On or about 12-12-12, it was determined employees who use hazardous chemicals were not given hazard communication training when they first began their assignment. |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
