| Entity Name: | BOULEVARD URGENT CARE & FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Oct 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000173802 |
| FEI/EIN Number | 47-5325487 |
| Address: | 1808 E. SILVER SPRINGS BLVD., OCALA, FL, 34470, US |
| Mail Address: | P.O. BOX 1815, BERLIN, MD, 21811, US |
| ZIP code: | 34470 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164893095 | 2015-10-19 | 2015-10-19 | 1808 E SILVER SPRINGS BLVD, OCALA, FL, 344706921, US | 1808 E SILVER SPRINGS BLVD, OCALA, FL, 344706921, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-291-5000 |
Authorized person
| Name | ABDUL J BARHOUSH |
| Role | MEMBER MANAGER |
| Phone | 3522915000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORSE JEFFREY A | Agent | 1808 E. SILVER SPRINGS BLVD., OCALA, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| MORSE JEFFREY A | Manager | 1808 E. SILVER SPRINGS BLVD., OCALA, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| DEUTSCH GARY | Authorized Member | 1808 E. SILVER SPRINGS BLVD., OCALA, FL, 34470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-01-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-19 | 1808 E. SILVER SPRINGS BLVD., OCALA, FL 34470 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-02 |
| LC Amendment | 2016-01-19 |
| Florida Limited Liability | 2015-10-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
