| Entity Name: | WELLCARE MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WELLCARE MEDICAL CLINIC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Jun 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Dec 2019 (5 years ago) |
| Document Number: | L10000061923 |
| FEI/EIN Number |
272946199
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9750 NW 33RD STREET, CORAL SPRINGS, FL, 33065, US |
| Mail Address: | 9750 NW 33RD STREET, CORAL SPRINGS, FL, 33065, US |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730485616 | 2011-02-10 | 2011-02-10 | 2901 CORAL HILLS DRIVE, SUITE 250, CORAL SPRINGS, FL, 330654146, US | 2901 CORAL HILLS DRIVE, SUITE 250, CORAL SPRINGS, FL, 330654146, US | |||||||||||||||||
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| Phone | +1 954-603-5508 |
Authorized person
| Name | DR. SIMON C WONG |
| Role | PRESIDENT |
| Phone | 9543834262 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS10509 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLCARE MEDICAL CLINIC LLC 401K | 2023 | 272946199 | 2024-07-03 | WELLCARE MEDICAL CLINIC LLC | 15 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9546035508 |
| Plan sponsor’s address | 9750 NW 33RD ST, SUITE 206, CORAL SPRINGS, FL, 33065 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | KIMBERLY ANDA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9546035508 |
| Plan sponsor’s address | 9750 NW 33RD ST, SUITE 206, CORAL SPRINGS, FL, 33065 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-17 |
| Name of individual signing | KIMBERLY EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Wong Simon CDO | Manager | 9750 NW 33RD STREET, CORAL SPRINGS, FL, 33065 |
| WONG SIMON C | Agent | 9750 NW 33RD STREET, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-03 | 9750 NW 33RD STREET, SUITE 206, CORAL SPRINGS, FL 33065 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-03 | 9750 NW 33RD STREET, SUITE 206, CORAL SPRINGS, FL 33065 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 9750 NW 33RD STREET, SUITE 206, CORAL SPRINGS, FL 33065 | - |
| REINSTATEMENT | 2019-12-16 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-20 | WONG, SIMON C | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-06 |
| REINSTATEMENT | 2019-12-16 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5107507310 | 2020-04-30 | 0455 | PPP | 9750 NW 33rd Street Ste 210, Coral Springs, FL, 33065 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
