| Entity Name: | COMPASSION PEDIATRIC URGENT CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2013 (12 years ago) |
| Document Number: | L13000030602 |
| FEI/EIN Number | 80-0900240 |
| Address: | 4445 S. SEMORAN BLVD, ORLANDO, FL, 32822, US |
| Mail Address: | 4445 S. SEMORAN BLVD, ORLANDO, FL, 32822, US |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770824534 | 2013-03-04 | 2021-04-22 | 4445 S. SEMORAN BOULEVARD SUITE C, ORLANDO, FL, 32822, US | 4445 S SEMORAN BLVD STE C, ORLANDO, FL, 328222472, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-985-1905 |
| Fax | 4079851904 |
Authorized person
| Name | DR. LESLEY KYLE BOW |
| Role | PRESIDENT |
| Phone | 4079851905 |
Taxonomy
| Taxonomy Code | 207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME 110633 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101675700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOW L. KYLE M | Agent | 732 Wilkinson Street, ORLANDO, FL, 32803 |
| Name | Role |
|---|---|
| COMPASSION HOLDINGS, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000093046 | URGENT CARE 4 KIDS | EXPIRED | 2018-08-21 | 2023-12-31 | No data | 4442 CURRY FORD ROAD, ORLANDO, FL, 32812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-27 | 4445 S. SEMORAN BLVD, SUITE C, ORLANDO, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-27 | 4445 S. SEMORAN BLVD, SUITE C, ORLANDO, FL 32822 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 732 Wilkinson Street, ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
