| Entity Name: | CERTMEDICALS WALK-IN CLINIC AND WOUND CARE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2021 (4 years ago) |
| Document Number: | L21000049758 |
| FEI/EIN Number | 86-1949730 |
| Address: | 917 Rinehart Road Suite 2041, Lake Mary, FL, 32746, US |
| Mail Address: | 917 Rinehart Road Suite 2041, Lake Mary, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639764871 | 2021-03-09 | 2021-03-09 | 917 RINEHART RD STE 2041, LAKE MARY, FL, 327464806, US | 917 RINEHART RD STE 2041, LAKE MARY, FL, 327464806, US | |||||||||||||||
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| Phone | +1 321-926-3649 |
| Fax | 3219263651 |
Authorized person
| Name | JUDEPATRICKS M ONYEMA |
| Role | PRESIDENT |
| Phone | 3219263649 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CERTMEDICALS WALK-IN CLINIC AND WOUND CARE PLLC 401(K) PLAN | 2023 | 861949730 | 2024-05-13 | CERTMEDICALS WALK-IN CLINIC AND WOUND CARE PLLC | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Onyema Judepatricks | Auth | 917 Rinehart Road Suite 2041, Lake Mary, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 917 Rinehart Road Suite 2041, Lake Mary, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-29 | 917 Rinehart Road Suite 2041, Lake Mary, FL 32746 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-29 | Registered Agents Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-29 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-08 |
| Florida Limited Liability | 2021-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
