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FLORIDA IMMEDIATE CARE CENTERS , LLC

Company Details

Entity Name: FLORIDA IMMEDIATE CARE CENTERS , LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Dec 2009 (15 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 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
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952614489 2010-07-26 2010-07-26 PO BOX 567, LAKE BUTLER, FL, 320540567, US 128 NW 137TH DR, NEWBERRY, FL, 32669, US

Contacts

Phone +1 352-258-4452
Fax 3522580088

Authorized person

Name PAUL CARLTON
Role MANAGING PARTNER
Phone 3522584452

Taxonomy

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

Agent

Name Role Address
FORTNER CHRISTOPHER Agent 275 WEST MAIN STREET, LAKE BUTLER, FL, 32054

Managing Member

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

Secretary

Name Role Address
CLEMONS MICHELLE Secretary 275 WEST MAIN STREET, LAKE BUTLER, FL, 32054

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF MAILING ADDRESS 2012-01-17 128 NW 137TH DRIVE, NEWBERRY, FL 32669 No data
CHANGE OF PRINCIPAL ADDRESS 2011-02-08 128 NW 137TH DRIVE, NEWBERRY, FL 32669 No data

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

Date of last update: 03 Jan 2025

Sources: Florida Department of State