| Entity Name: | NICEVILLE URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 May 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L13000073456 |
| FEI/EIN Number | 46-2804946 |
| Address: | 906 PALM BOULEVARD S., NICEVILLE, FL 32578 |
| Mail Address: | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL 32547 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881015477 | 2013-12-27 | 2013-12-27 | 910 PALM BLVD S, NICEVILLE, FL, 325782603, US | 910 PALM BLVD S, NICEVILLE, FL, 325782603, US | |||||||||||||
|
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| Phone | +1 850-398-8077 |
Authorized person
| Name | CHARLIE CLANCY |
| Role | MANAGING PARTNER |
| Phone | 8505151174 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLANCY, CHARLES J | Agent | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL 32547 |
| Name | Role | Address |
|---|---|---|
| PHYSICIAN ASSISTANT COVERAGE ON DEMAND, INC. | Managing Member | No data |
| FINCH, COREY D | Managing Member | 2045 Northeast 118th Street, Oklahoma City, OK 73131 |
| NICEVILLE HOLDINGS, LLC | Managing Member | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-05 | 906 PALM BOULEVARD S., NICEVILLE, FL 32578 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-12 |
| AMENDED ANNUAL REPORT | 2014-02-14 |
| ANNUAL REPORT | 2014-02-05 |
| Florida Limited Liability | 2013-05-20 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
