| Entity Name: | NEW SMYRNA BEACH URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Dec 2009 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Apr 2018 (7 years ago) |
| Document Number: | L09000115917 |
| FEI/EIN Number | 271426016 |
| Address: | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 126 S. NOVA RD, Ormond Beach, FL, 32174, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326448168 | 2014-08-29 | 2014-08-29 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 1860 RENZULLI RD, NEW SMYRNA BEACH, FL, 321681726, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-663-3061 |
Authorized person
| Name | KENNY HEINE |
| Role | VP OF OPERATIONS |
| Phone | 8589641506 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME45016 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW SMYRNA BEACH URGENT CARE LLC 401K PLAN | 2016 | 271426016 | 2017-06-07 | NEW SMYRNA BEACH URGENT CARE LLC | 1 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2017-06-07 |
| Name of individual signing | ERIN SLOAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 3862995658 |
| Plan sponsor’s address | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL, 32168 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-12 |
| Name of individual signing | ERIN MAXWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3862995658 |
| Plan sponsor’s address | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL, 32168 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-11 |
| Name of individual signing | ERIN MAXWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 3862995658 |
| Plan sponsor’s address | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL, 32168 |
Signature of
| Role | Plan administrator |
| Date | 2016-11-23 |
| Name of individual signing | ERIN MAXWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3862995658 |
| Plan sponsor’s address | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL, 32168 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-09 |
| Name of individual signing | ERIN MAXWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SLOAN ERIN C | Agent | 126 S.Nova Rd, Ormond, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| SLOAN ERIN C | Managing Member | 18 Foxfords Chase, Ormond Beach, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000076485 | ORMOND BEACH URGENT CARE | ACTIVE | 2013-07-31 | 2028-12-31 | No data | 126 S. NOVA RD, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-12 | 126 S.Nova Rd, Ormond, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-19 | 1860 RENZULLI ROAD, NEW SMYRNA BEACH, FL 32168 | No data |
| LC AMENDMENT | 2018-04-18 | No data | No data |
| AMENDMENT | 2016-06-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-06-08 | SLOAN, ERIN C | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-12 |
| LC Amendment | 2018-04-18 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
