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IMMEDIATE CARE CLINIC, LLC

Company Details

Entity Name: IMMEDIATE CARE CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Aug 2017 (7 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 13 Dec 2021 (3 years ago)
Document Number: L17000186138
FEI/EIN Number 82-2672605
Address: 7301 NORTH UNIVERSITY DRIVE, 100, TAMARAC, FL, 33321, US
Mail Address: 7301 NORTH UNIVERSITY DRIVE, 100, TAMARAC, FL, 33321, US
ZIP code: 33321
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427670322 2020-05-13 2020-05-13 6979 STIRLING RD, DAVIE, FL, 333147005, US 6979 STIRLING RD, DAVIE, FL, 333147005, US

Contacts

Phone +1 954-900-3257
Fax 9549003296

Authorized person

Name MR. RICHARD PLAZA
Role DIRECTOR OF OPERATIONS
Phone 9549003257

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
PLAZA RICHARD RJR Agent 7301 N. UNIVERSITY DR., TAMARAC, FL, 33321

Director

Name Role Address
PIASIO ROBERT F Director 7301 NORTH UNIVERSITY DRIVE, TAMARAC, FL, 33321

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000095295 ICC MEDICAL ACTIVE 2024-08-10 2029-12-31 No data PO BOX 550793, 100, DAVIE, FL, 33355
G22000054285 ICC AESTHETICS BY KARLA ACTIVE 2022-04-28 2027-12-31 No data 2286 WILTON DRIVE, WILTON MANORS, FL, 33305

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-12-13 No data No data
LC AMENDMENT 2021-07-06 No data No data
LC AMENDMENT 2019-05-13 No data No data
LC AMENDMENT 2018-11-16 No data No data
LC AMENDMENT 2018-09-24 No data No data
CHANGE OF MAILING ADDRESS 2018-04-30 7301 NORTH UNIVERSITY DRIVE, 100, TAMARAC, FL 33321 No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-30 7301 NORTH UNIVERSITY DRIVE, 100, TAMARAC, FL 33321 No data
LC DISSOCIATION MEM 2017-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-05
ANNUAL REPORT 2022-04-30
LC Amendment 2021-12-13
LC Amendment 2021-07-06
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-30
LC Amendment 2019-05-13
ANNUAL REPORT 2019-04-30
LC Amendment 2018-11-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State