| Entity Name: | MEDCARE XPRESS WALK-IN CLINIC OF AVALON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jun 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000091148 |
| Address: | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828 |
| Mail Address: | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144631672 | 2014-05-19 | 2014-06-13 | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | |||||||||||||||||||||||
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| Phone | +1 407-378-5300 |
| Fax | 4077455589 |
Authorized person
| Name | WAYNE RICHARD HILL |
| Role | PRESIDENT |
| Phone | 4073785300 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HILL WAYNE R | Agent | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| BLACK WALTER AM.D. | Manager | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT | 2014-08-07 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2014-08-07 |
| Florida Limited Liability | 2014-06-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
