| Entity Name: | EXPRESS CARE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Nov 2013 (11 years ago) |
| Document Number: | L13000155879 |
| FEI/EIN Number | 46-4113986 |
| Address: | 1060 CEASARS CT, MOUNT DORA, FL 32757 |
| Mail Address: | 1060 CEASARS CT, MOUNT DORA, FL 32757 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104247865 | 2013-12-26 | 2014-10-03 | 2650 STATE ROAD 434, LONGWOOD, FL, 32779, US | 2650 W STATE ROAD 434, LONGWOOD, FL, 327794815, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-475-3366 |
| Fax | 4074753367 |
Authorized person
| Name | MR. OLEKSANDR V ONUSHKO |
| Role | PRESIDENT |
| Phone | 4074753367 |
Taxonomy
| Taxonomy Code | 207PS0010X - Sports Medicine (Emergency Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2083S0010X - Sports Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ONUSHKO, OLEKSANDR, PH.D. | Agent | 1060 CEASARS CT, MOUNT DORA, FL 32757 |
| Name | Role | Address |
|---|---|---|
| ONUSHKO, OLEKSANDR, PH.D. | Manager | 1060 CEASARS CT, MOUMT DORA, FL 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-15 | 1060 CEASARS CT, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-15 | 1060 CEASARS CT, MOUNT DORA, FL 32757 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-15 | 1060 CEASARS CT, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
