| Entity Name: | BAY VIEW URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Oct 2008 (16 years ago) |
| Date of dissolution: | 19 Nov 2012 (12 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Nov 2012 (12 years ago) |
| Document Number: | L08000093837 |
| FEI/EIN Number | 263488717 |
| Address: | 1530 CORNERSTONE BLVD., 200, DAYTONA BEACH, FL, 32117, US |
| Mail Address: | 1530 CORNERSTONE BLVD., SUITE 200, DAYTONA BEACH, FL, 32117, US |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386896991 | 2008-10-14 | 2009-05-04 | 573 N AIRPORT RD, NEW SMYRNA BEACH, FL, 321685369, US | 573 N AIRPORT RD, NEW SMYRNA BEACH, FL, 321685369, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-427-0396 |
| Fax | 3864270397 |
Authorized person
| Name | CHARLES D DUVA |
| Role | PRESIDENT |
| Phone | 3862747800 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | B918H |
| State | FL |
| Issuer | FEDERAL WORKERS COMPENSATION |
| Number | 614043300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUVA CHARLES D | Agent | 1530 CORNERSTONE BLVD., DAYTONA BEACH, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| DUVA CHARLES D | Manager | 545 OCEANSHORE BLVD., ORMOND BEACH, FL, 32176 |
| HARRELL STEVEN W | Manager | 2781 LETHA ROAD, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2012-11-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-13 | 1530 CORNERSTONE BLVD., 200, DAYTONA BEACH, FL 32117 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-01 | 1530 CORNERSTONE BLVD., 200, DAYTONA BEACH, FL 32117 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-01 | DUVA, CHARLES D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-01 | 1530 CORNERSTONE BLVD., SUITE 200, DAYTONA BEACH, FL 32117 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2012-11-19 |
| ANNUAL REPORT | 2012-03-13 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-03-01 |
| ANNUAL REPORT | 2009-03-11 |
| Florida Limited Liability | 2008-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
