| Entity Name: | NORTHWEST URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Dec 2020 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L20000390156 |
| FEI/EIN Number | 854344314 |
| Mail Address: | PO BOX 951306, LAKE MARY, FL, 32795, US |
| Address: | 5840 NORTH ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32810, US |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942824578 | 2020-05-29 | 2020-10-16 | PO BOX 951306, LAKE MARY, FL, 327951306, US | 5840 N ORANGE BLOSSOM TRL, ORLANDO, FL, 328101025, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-602-1100 |
| Fax | 4072194221 |
Authorized person
| Name | DR. GARRY B ANTOINE |
| Role | PRESIDENT & CEO |
| Phone | 4077685773 |
Taxonomy
| Taxonomy Code | 163WC0200X - Critical Care Medicine Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WE0003X - Emergency Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 2279C0205X - Critical Care Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279E0002X - Emergency Care Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279E1000X - Educational Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279G0305X - Geriatric Care Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P1004X - Pulmonary Diagnostics Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P1005X - Pulmonary Rehabilitation Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P3900X - Neonatal/Pediatric Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 2279P4000X - Patient Transport Registered Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 3336C0002X - Clinic Pharmacy |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ANTOINE GARRY BMD | Agent | 5840 NORTH ORANGE BLOSSOM TRAIL, ORLANDO, FL, FL, 32810 |
| Name | Role | Address |
|---|---|---|
| ANTOINE GARRY BMD | Authorized Member | 5840 NORTH ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-12-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-05 | ANTOINE, GARRY B, MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-12-05 |
| ANNUAL REPORT | 2021-07-27 |
| Florida Limited Liability | 2020-12-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
