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  5. DOC SMILEY'S URGENT CARE, LLC

DOC SMILEY'S URGENT CARE, LLC

Company Details

Entity Name: DOC SMILEY'S URGENT CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Feb 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Apr 2016 (9 years ago)
Document Number: L14000021047
FEI/EIN Number 46-4828405
Address: 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL, 32459, US
Mail Address: 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL, 32459, US
ZIP code: 32459
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942611652 2014-05-15 2014-05-15 43 CASSINE WAY, UNIT 102, SANTA ROSA BEACH, FL, 324590456, US 43 CASSINE WAY, UNIT 102, SANTA ROSA BEACH, FL, 324590456, US

Contacts
Phone +1 850-231-1919

Authorized person
Name CHRISTINE SMILEY
Role PHYSICIAN OWNER
Phone 8502311919

Taxonomy
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number OS12341
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOC SMILEY'S URGENT CARE 401(K) PLAN 2023 464828405 2024-10-25 DOC SMILEY'S URGENT CARE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2024-10-25
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-25
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2022 464828405 2023-06-06 DOC SMILEY'S URGENT CARE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-06
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2021 464828405 2022-08-17 DOC SMILEY'S URGENT CARE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2022-08-17
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-17
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2020 464828405 2021-05-03 DOC SMILEY'S URGENT CARE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2019 464828405 2020-03-03 DOC SMILEY'S URGENT CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2020-03-03
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-03
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2018 464828405 2019-05-29 DOC SMILEY'S URGENT CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-29
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
DOC SMILEY'S URGENT CARE 401(K) PLAN 2017 464828405 2018-02-28 DOC SMILEY'S URGENT CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Sponsor’s telephone number 8502311919
Plan sponsor’s address 43 CASSINE WAY #102, SANTA ROSA BEACH, FL, 324590457

Signature of
Role Plan administrator
Date 2018-02-28
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-28
Name of individual signing CHRISTINE SMILEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Smiley Justin Dr. Agent 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL, 32459

Chief Executive Officer

Name Role Address
SMILEY CHRISTINE Dr. Chief Executive Officer 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL, 32459

Vice President

Name Role Address
SMILEY JUSTIN Dr. Vice President 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL, 32459

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-11 Smiley, Justin, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-08 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL 32459 No data
REINSTATEMENT 2016-04-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
LC AMENDMENT 2014-09-05 No data No data
CHANGE OF MAILING ADDRESS 2014-07-25 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL 32459 No data
CHANGE OF PRINCIPAL ADDRESS 2014-07-18 43 CASSINE WAY, #102, SANTA ROSA BEACH, FL 32459 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-01-11
REINSTATEMENT 2016-04-08
LC Amendment 2014-09-05

Related by officers

SMILEY CHRISTINE Dr.

SMILEY MEDICAL GROUP PLLC

Smiley Justin Dr.

SMILEY MEDICAL GROUP PLLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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