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DAIRY ROAD URGENT CARE LLC

Company Details

Entity Name: DAIRY ROAD URGENT CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Sep 2009 (15 years ago)
Document Number: L09000090032
FEI/EIN Number 27-0944686
Address: 2107 DAIRY ROAD, MELBOURNE, FL 32904
Mail Address: PO BOX 120043, WEST MELBOURNE, FL 32912
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265765531 2009-09-17 2016-04-23 PO BOX 120043, WEST MELBOURNE, FL, 329120043, US 2107 DAIRY RD, MELBOURNE, FL, 329045209, US

Contacts

Phone +1 321-956-8224
Fax 3219568225

Authorized person

Name DR. MIGUEL LYNN LORENTE
Role PRESIDENT
Phone 3219568224

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number ME82880
State FL
Is Primary Yes

Agent

Name Role Address
Boehm , Jackie CPA Agent 2107 DAIRY ROAD, MELBOURNE, FL 32904

Manager

Name Role Address
LORENTE, MIGUEL L Manager 4276 Serendipity Lane, MELBOURNE, FL 32904
HAREL, CHRISTIANE V Manager 4276 Serendipity Lane, MELBOURNE, FL 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-15 Boehm , Jackie CPA No data
REGISTERED AGENT ADDRESS CHANGED 2016-02-06 2107 DAIRY ROAD, MELBOURNE, FL 32904 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000529333 ACTIVE 05-2020-SC-053055 EIGHTEENTH JUDICIAL CIRCUIT 2021-08-26 2026-10-20 $4401.62 ADAM BERTUCCO, 2879 MORRIS AVE NE, PALM BAY, FL 32905

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-02-06
ANNUAL REPORT 2015-01-11

Date of last update: 25 Jan 2025

Sources: Florida Department of State