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FLORIDA IMMEDIATE CARE CENTERS , LLC - Florida Company Profile

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Company Details

Entity Name: FLORIDA IMMEDIATE CARE CENTERS , LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Dec 2009 (16 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: L09000120479
FEI/EIN Number 271542840
Address: 128 NW 137TH DRIVE, NEWBERRY, FL, 32669, US
Mail Address: P.O. BOX 692, LAKE BUTLER, FL, 32054, US
ZIP code: 32669
City: Newberry
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORTNER CHRISTOPHER Managing Member 275 WEST MAIN STREET, LAKE BUTLER, FL, 32054
CLEMONS MICHELLE Secretary 275 WEST MAIN STREET, LAKE BUTLER, FL, 32054
FORTNER CHRISTOPHER Agent 275 WEST MAIN STREET, LAKE BUTLER, FL, 32054

National Provider Identifier

NPI Number:
1952614489

Authorized Person:

Name:
PAUL CARLTON
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3522580088

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF MAILING ADDRESS 2012-01-17 128 NW 137TH DRIVE, NEWBERRY, FL 32669 -
CHANGE OF PRINCIPAL ADDRESS 2011-02-08 128 NW 137TH DRIVE, NEWBERRY, FL 32669 -

Documents

Name Date
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2013-02-04
ANNUAL REPORT 2012-01-17
ANNUAL REPORT 2011-02-08
ANNUAL REPORT 2010-01-21
Florida Limited Liability 2009-12-18

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Date of last update: 03 Aug 2025

Sources: Florida Department of State