| Entity Name: | PRIMERA CHOICE URGENT CARE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Apr 2012 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L12000050431 |
| FEI/EIN Number | 45-5054111 |
| Address: | 3861 AVALON PARK EAST BOULEVARD, ORLANDO, FL 32828 |
| Mail Address: | 3861 AVALON PARK EAST BOULEVARD, ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881952802 | 2012-04-27 | 2012-09-19 | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-378-5300 |
| Fax | 4073785360 |
Authorized person
| Name | MR. FEMI OGUNFOWOKAN |
| Role | MGRM |
| Phone | 4079364635 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CMS-MEDICARE |
| Number | GH092A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTSON, LISA | Agent | 3861 AVALON PARK EAST BOULEVARD, ORLANDO, FL 32828 |
| Name | Role | Address |
|---|---|---|
| OGUNFOWOKAN, FEMI DR. | Managing Member | 3861 AVALON PARK EAST BLVD., ORLANDO, FL 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC AMENDMENT | 2013-04-01 | No data | No data |
| LC AMENDMENT | 2013-01-30 | No data | No data |
| LC AMENDMENT | 2012-11-01 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000559019 | ACTIVE | 1000000673948 | ORANGE | 2015-04-20 | 2025-05-11 | $ 482.24 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J14000886225 | LAPSED | 2014-SC-005185 | ORANGE COUNTY COURT | 2014-08-14 | 2019-08-25 | $6617.88 | PHYSICIAN SALES & SERVICE INC., C/O WILLIAM M. LINDEMAN, P.A., P.O. BOX 3506, ORLANDO, FL 32802 |
| J14000718758 | LAPSED | 2014-CC-004758 | ORANGE COUNTY COURT | 2014-06-10 | 2019-06-17 | $10,227.35 | HENRY SCHEIN, INC., C/O WILLIAM M. LINDEMAN, P.A., P.O. BOX 3506, ORLANDO, FL 32802 |
| J14000879410 | INACTIVE WITH A SECOND NOTICE FILED | 2014-CA-005179-O | ORANGE COUNTY | 2014-05-21 | 2019-08-12 | $18,313.51 | CAN CAPITAL MERCHANT SERVICES, INC. FKA ADVANCEME, INC., 2015 VAUGHN ROAD, BLDG. 500, KENNESAW, GA 30144 |
| J14000848613 | LAPSED | 1000000619898 | ORANGE | 2014-04-25 | 2024-08-01 | $ 1,525.90 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J14000848621 | LAPSED | 1000000619899 | ORANGE | 2014-04-25 | 2024-08-01 | $ 1,308.10 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| LC Amendment | 2013-01-30 |
| LC Amendment | 2012-11-01 |
| Florida Limited Liability | 2012-04-13 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
