| Entity Name: | CRESTVIEW IMMEDIATE CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CRESTVIEW IMMEDIATE CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Jan 2020 (5 years ago) |
| Date of dissolution: | 10 Dec 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Dec 2024 (3 months ago) |
| Document Number: | L20000046708 |
| FEI/EIN Number |
844801291
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4100 S. FERDON BOULEVARD SUITE A-3, CRESTVIEW, FL, 32536, US |
| Mail Address: | 4100 South Ferdon Blvd, Ste A-3, Crestview, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073134730 | 2020-05-04 | 2020-06-09 | 4100 S FERDON BLVD STE A3, CRESTVIEW, FL, 325365287, US | 4100 S FERDON BLVD STE A3, CRESTVIEW, FL, 325365287, US | |||||||||||||||||||||
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| Phone | +1 850-634-6345 |
| Fax | 8506346345 |
| Phone | +1 850-758-7791 |
Authorized person
| Name | ALIASON HEATHER MARTIN-OVERTON |
| Role | OWNER |
| Phone | 8506346345 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALIASON HEATHER MARTIN OVERTON | Manager | 3081 BORDER CREEK ROAD, CRESTVIEW, FL, 32539 |
| ALLAN EDWARD OVERTON | Authorized Member | 3081 BORDER CREEK ROAD, CRESTVIEW, FL, 32539 |
| ALIASON HEATHER MARTIN OVERTON | Agent | 3081 BORDER CREEK ROAD, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-10 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-02-01 | 4100 S. FERDON BOULEVARD SUITE A-3, CRESTVIEW, FL 32536 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-10 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-01 |
| Florida Limited Liability | 2020-01-27 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
