| Entity Name: | WEST BOYNTON URGENT CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Apr 2012 (13 years ago) |
| Document Number: | L12000045842 |
| FEI/EIN Number | 90-0815244 |
| Address: | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 |
| Mail Address: | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114693553 | 2021-08-17 | 2021-08-17 | 115 EASTPARK DR STE 300, BRENTWOOD, TN, 370272311, US | 18706 NW 67TH AVE, HIALEAH, FL, 330152408, US | |||||||||||||||
|
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| Phone | +1 615-600-4100 |
| Phone | +1 786-563-0280 |
Authorized person
| Name | SIERRA MANNING |
| Role | CREDENTIALING COORDINATOR |
| Phone | 9049005436 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GINTER, SHAUN | Chief Executive Officer | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| GINTER, SHAUN | President | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| MOHAMED, WAEL | Chief Financial Officer | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| MOHAMED, WAEL | Treasurer | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| COYNE, FRAN | Other | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Geissbuhler, Mandylynn | Secretary | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role |
|---|---|
| NATIONAL URGENT CARE HOLDINGS, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000059604 | CARESPOT - ABERDEEN | EXPIRED | 2019-05-20 | 2024-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G18000022457 | CARESPOT - MIAMI GARDENS | ACTIVE | 2018-02-12 | 2028-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G17000099400 | CARESPOT - WELLINGTON | ACTIVE | 2017-08-31 | 2027-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G16000044126 | CARESPOT EXPRESS HEALTHCARE-BOYNTON BEACH | ACTIVE | 2016-05-02 | 2026-12-31 | No data | 8756 BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33472 |
| G16000038876 | CARESPOT EXPRESS HEALTHCARE | ACTIVE | 2016-04-18 | 2026-12-31 | No data | 8756 BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33472 |
| G14000019604 | MEDPOST URGENT CARE - BOYNTON BEACH | EXPIRED | 2014-02-25 | 2019-12-31 | No data | 8756 BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-10 | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-10 |
| AMENDED ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-03-10 |
| AMENDED ANNUAL REPORT | 2021-05-05 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-05-09 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
