Entity Name: | URGENT CARE EXPRESS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 10 Mar 2011 (14 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | L11000029697 |
FEI/EIN Number | 27-5477249 |
Address: | 6182 GUNN HWY, TAMPA, FL 33625 |
Mail Address: | 6182 Gunn Hwy, Tampa, FL 33625 |
ZIP code: | 33625 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124306923 | 2011-07-27 | 2021-08-18 | 3020 KENSINGTON TRCE, TARPON SPRINGS, FL, 346888456, US | 6182 GUNN HWY, TAMPA, FL, 336254014, US | |||||||||||||||||||||||||||
|
Phone | +1 412-999-1440 |
Fax | 7279427847 |
Authorized person
Name | MR. PAUL PEIFFER |
Role | OWNER |
Phone | 4129991440 |
Taxonomy
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | DR. KIMBERLY GIBSON LICENSE |
Number | ME75653 |
State | FL |
Issuer | DR. KIMBERLY GIBSON NPI |
Number | 1720037567 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
URGENT CARE EXPRESS LLC | 2018 | 275477249 | 2019-11-06 | URGENT CARE EXPRESS LLC | 10 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2019-11-06 |
Name of individual signing | ANNETTE JONES |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2014-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8139601100 |
Plan sponsor’s address | 6182 GUNN HIGHWAY, TAMPA, FL, 33625 |
Signature of
Role | Plan administrator |
Date | 2016-07-11 |
Name of individual signing | ANNETTE JONES |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2014-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8139601100 |
Plan sponsor’s address | 6182 GUNN HIGHWAY, TAMPA, FL, 33625 |
Signature of
Role | Plan administrator |
Date | 2015-07-28 |
Name of individual signing | ANNETTE JONES |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
Peiffer, Paul | Agent | 6182 Gunn Hwy, tampa, FL 33625 |
Name | Role | Address |
---|---|---|
Peiffer, Paul | Managing Member | 6182 Gunn Hwy, Tampa, FL 33625 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000087495 | AMERICAN FAMILY CARE | ACTIVE | 2016-08-16 | 2026-12-31 | No data | 6182 GUNN HWY, TAMPA, FL, 33625 |
G11000087509 | DOCTORS EXPRESS | EXPIRED | 2011-09-04 | 2016-12-31 | No data | 120 ANNWOOD RD, PALM HARBOR, FL, 34685 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2020-03-24 | Peiffer, Paul | No data |
CHANGE OF MAILING ADDRESS | 2013-03-13 | 6182 GUNN HWY, TAMPA, FL 33625 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-03-13 | 6182 Gunn Hwy, tampa, FL 33625 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2012-04-12 | 6182 GUNN HWY, TAMPA, FL 33625 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-03-16 |
ANNUAL REPORT | 2022-02-18 |
ANNUAL REPORT | 2021-02-16 |
ANNUAL REPORT | 2020-03-24 |
ANNUAL REPORT | 2019-04-25 |
ANNUAL REPORT | 2018-04-28 |
ANNUAL REPORT | 2017-03-19 |
ANNUAL REPORT | 2016-03-29 |
ANNUAL REPORT | 2015-03-03 |
ANNUAL REPORT | 2014-01-19 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State