| Entity Name: | ST. VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ST. VINCENT'S FULL SERVICE URGENT CARE, 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: | 14 Dec 2010 (14 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 31 Oct 2017 (7 years ago) |
| Document Number: | L10000128129 |
| FEI/EIN Number |
274273517
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204, US |
| Mail Address: | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285111484 | 2018-07-20 | 2018-07-20 | 4205 BELFORT RD STE 4015, JACKSONVILLE, FL, 322163623, US | 15510 MAX LEGGETT PARKWAY, STE A, JACKSONVILLE, FL, 32218, US | |||||||||||||||||||||
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| Phone | +1 904-450-8600 |
| Fax | 9044508686 |
Authorized person
| Name | ANDREA MENDOZA |
| Role | CHIEF REVENUE CYCLE SPECIALIST |
| Phone | 9044506045 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007294308 |
| State | FL |
| Name | Role |
|---|---|
| ST. VINCENT'S HEALTH SYSTEM, INC. | SOLE |
| CORPORATION SERVICE COMPANY | Agent |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000128158 | ASCENSION ST. VINCENT'S URGENT CARE | ACTIVE | 2018-12-04 | 2028-12-31 | - | 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-27 | 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-27 | 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 | - |
| LC NAME CHANGE | 2017-10-31 | ST. VINCENT'S FULL SERVICE URGENT CARE, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-08-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| LC STMNT OF RA/RO CHG | 2017-08-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-08-17 | CORPORATION SERVICE COMPANY | - |
| LC DISSOCIATION MEM | 2016-11-14 | - | - |
| LC AMENDED/RESTATED ARTICLE/NAME CHANGE | 2012-05-31 | ST. VINCENT'S FIRST CARE, LLC | - |
| LC NAME CHANGE | 2011-03-24 | COMPCARE HEALTH SOLUTIONS, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-04-10 |
| AMENDED ANNUAL REPORT | 2018-05-23 |
| ANNUAL REPORT | 2018-04-17 |
| LC Name Change | 2017-10-31 |
| CORLCRACHG | 2017-08-17 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
