| Entity Name: | OASIS URGENT CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Oct 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Oct 2024 (3 months ago) |
| Document Number: | L14000154780 |
| FEI/EIN Number | 47-2002295 |
| Address: | 3164 PALM BEACH BLVD, FORT MYERS, FL, 33916, US |
| Mail Address: | 3164 PALM BEACH BLVD, FORT MYERS, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285193243 | 2019-03-18 | 2023-02-20 | 3164 PALM BEACH BLVD STE 104-D, FORT MYERS, FL, 339161579, US | 3164 PALM BEACH BLVD, FORT MYERS, FL, 339161579, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-285-6649 |
| Fax | 2392644982 |
| Phone | +1 239-590-8399 |
Authorized person
| Name | MR. JOSE M ALMANZAR I |
| Role | PHYSICIAN ASSISTANT |
| Phone | 2392856649 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1285193243 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALMANZAR JOSE MSr. | Agent | 130 29TH ST SW, NAPLES, FL, 34117 |
| Name | Role | Address |
|---|---|---|
| ALMANZAR RAMON F | Manager | 6229 BEEDLA STREET, NORTH POINT, FL, 34286 |
| Name | Role | Address |
|---|---|---|
| ALMANZAR JOSE M | Auth | 3164 PALM BEACH BLVD, FORT MYERS, FL, 33916 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000047030 | OASIS MEDICAL GROUP CLINIC | EXPIRED | 2019-04-15 | 2024-12-31 | No data | 130 29TH ST SW, NAPLES, FL, 34117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC DISSOCIATION MEM | 2023-08-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-12 | 3164 PALM BEACH BLVD, FORT MYERS, FL 33916 | No data |
| LC AMENDMENT | 2021-11-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-12 | 3164 PALM BEACH BLVD, FORT MYERS, FL 33916 | No data |
| LC AMENDMENT | 2021-08-10 | No data | No data |
| LC DISSOCIATION MEM | 2019-12-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-18 | ALMANZAR, JOSE M, Sr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-18 | 130 29TH ST SW, NAPLES, FL 34117 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-31 |
| CORLCDSMEM | 2023-08-07 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-01-29 |
| LC Amendment | 2021-11-12 |
| LC Amendment | 2021-08-10 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-15 |
| CORLCDSMEM | 2019-12-06 |
| ANNUAL REPORT | 2019-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
