| Entity Name: | MEDCARE XPRESS WALK-IN CLINIC OF KISSIMMEE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Jun 2014 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L14000098781 |
| FEI/EIN Number | 47-1147416 |
| Address: | 1122 N MAIN STREET, KISSIMMEE, FL 34744 |
| Mail Address: | 1122 N MAIN STREET, KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700292547 | 2014-07-01 | 2015-08-14 | 1122 N MAIN ST, KISSIMMEE, FL, 347444283, US | 1122 N MAIN ST, KISSIMMEE, FL, 347444283, US | |||||||||||||||||||||||||
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| Phone | +1 407-378-5300 |
| Fax | 4075305692 |
| Fax | 4077455589 |
Authorized person
| Name | WAYNE RICHARD HILL JR. |
| Role | CEO |
| Phone | 4077806401 |
Taxonomy
| Taxonomy Code | 261Q00000X - 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 |
|---|---|---|
| Clotaire, Yvenel | Agent | 1122 N MAIN STREET, KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| BLACK, WALTER A | Manager | 1122 N MAIN STREET, KISSIMMEE, FL 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-12-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-16 | Clotaire, Yvenel | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT | 2014-08-18 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000472021 | LAPSED | 15-CA-2420-CI | OSCEOLA COUNTY, CIRCUIT COURT | 2016-07-26 | 2021-08-11 | $50,005.54 | EVERBANK COMMERCIAL FINANCE, INC., 10 WATERVIEW BOULEVARD, PARSIPPANY, N.J. 07054 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2015-12-16 |
| LC Amendment | 2014-08-18 |
| Florida Limited Liability | 2014-06-19 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
