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EXPRESS CARE CLINIC GROUP LLC

Company Details

Entity Name: EXPRESS CARE CLINIC GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Sep 2014 (10 years ago)
Document Number: L14000136613
FEI/EIN Number 47-2300884
Address: 1060 CEASARS CT, MOUNT DORA, FL, 32757, US
Mail Address: 1060 CEASARS CT, MOUNT DORA, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083016414 2014-09-17 2014-11-12 2650 W STATE ROAD 434, LONGWOOD, FL, 327794815, US 2650 W STATE ROAD 434, LONGWOOD, FL, 327794815, US

Contacts

Phone +1 407-475-3366
Fax 4074753367

Authorized person

Name OLEKSANDR V ONUSHKO
Role PRESIDENT
Phone 4074753366

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No

Agent

Name Role Address
ONUSHKO OLEKSANDR PH.D. Agent 1060 CEASARS CT, MOUNT DORA, FL, 32757

Manager

Name Role Address
ONUSHKO OLEKSANDR PH.D. Manager 1060 CEASARS CT, MOUNT DORA, FL, 32757

Events

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

Documents

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 2019-02-12
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-01-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State