| Entity Name: | 411 URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Mar 2021 (4 years ago) |
| Date of dissolution: | 12 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Apr 2022 (3 years ago) |
| Document Number: | L21000120027 |
| Address: | 17820 SE 109TH AVE,, STE 108, SUMMERFIELD, FL, 34491 |
| Mail Address: | 17820 SE 109TH AVE,, STE 108, SUMMERFIELD, FL, 34491 |
| ZIP code: | 34491 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699449462 | 2021-08-05 | 2021-08-26 | 17820 SE 109TH AVE STE 108, SUMMERFIELD, FL, 344918968, US | 17820 SE 109TH AVE STE 108, SUMMERFIELD, FL, 344918968, US | |||||||||||||||||||
|
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| Phone | +1 352-547-9378 |
| Fax | 3525593939 |
Authorized person
| Name | ADAMASTOR SANTOS |
| Role | MEDICAL / OFFICER |
| Phone | 3522744307 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANTOS TRENNA | Agent | 10710 NE 27TH STREET, OXFORD, FL, 34484 |
| Name | Role | Address |
|---|---|---|
| SANTOS TRENNA | Manager | 10710 NE 27TH STREET, OXFORD, FL, 34484 |
| RUSS ANNALEE | Manager | 6821 SW 44TH COURT, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-12 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-12 |
| Florida Limited Liability | 2021-03-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
