| Entity Name: | UROLOGIC INTEGRATED CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2018 (6 years ago) |
| Document Number: | L18000204837 |
| FEI/EIN Number | 83-1705481 |
| Address: | 1201 NW 64th Terrace, Gainesville, FL 32605 |
| Mail Address: | 5745 SW 75th Street #507, GAINESVILLE 32608 UN |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104392232 | 2018-10-16 | 2018-11-15 | 5745 SW 75TH ST # 507, GAINESVILLE, FL, 326085504, US | 1201 NW 64TH TER, GAINESVILLE, FL, 326054220, US | |||||||||||||||
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| Phone | +1 352-204-5400 |
| Fax | 3522045405 |
Authorized person
| Name | DR. VICTORIA Y BIRD |
| Role | MEDICAL DIRECTOR |
| Phone | 3522785132 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSE I. MORENO PA | Agent | 240 NW 76TH DRIVE, SUITE D, GAINESVILLE, FL 32607 |
| Name | Role | Address |
|---|---|---|
| BIRD, VICTORIA Y | Authorized Member | 5745 SW 75th Street 507, GAINESVILLE, FL 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-06 | 1201 NW 64th Terrace, Gainesville, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-06 | 1201 NW 64th Terrace, Gainesville, FL 32605 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-06 |
| Florida Limited Liability | 2018-08-27 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
