| Entity Name: | SOLANTIC OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jan 2005 (20 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 Aug 2019 (6 years ago) |
| Document Number: | M05000000446 |
| FEI/EIN Number | 20-2013359 |
| Address: | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 |
| Mail Address: | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629748918 | 2021-09-17 | 2021-09-17 | 115 EASTPARK DR STE 300, BRENTWOOD, TN, 370272311, US | 9680 ARGYLE FOREST BLVD STE 34, JACKSONVILLE, FL, 322222847, US | |||||||||||||||||
|
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| Phone | +1 615-600-4100 |
| Phone | +1 904-569-7771 |
| Fax | 9049901340 |
Authorized person
| Name | ANNA PERALTA |
| Role | VP, REVENUE ACCOUNTING |
| Phone | 6156004072 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GINTER , SHAUN | President | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| GINTER , SHAUN | Chief Executive Officer | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role |
|---|---|
| PAVILION URGENT CARE, INC. | Authorized Member |
| SOLANTIC CORPORATION | Authorized Member |
| Name | Role | Address |
|---|---|---|
| MOHAMED, WAEL | Chief Financial Officer | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Name | Role | Address |
|---|---|---|
| COYNE , FRAN | Other | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Tickell, Keith | Other | 841 Prudential Drive, Unit 1601 Jacksonville, FL 32207 |
| Zuino, Matthew | Other | 841 Prudential Drive, Unit 1601 Jacksonville, FL 32207 |
| Name | Role | Address |
|---|---|---|
| Geissbuhler, Mandylynn | Secretary | 10151 Deerwood Park Blvd., Building 400 Suite 200 Jacksonville, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000089654 | CARESPOT - OAKLEAF | ACTIVE | 2021-07-07 | 2026-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G21000020301 | CARESPOT - FLEMING ISLAND | ACTIVE | 2021-02-10 | 2026-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G19000079589 | CARESPOT EXPRESS HEALTHCARE | ACTIVE | 2019-07-25 | 2029-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G19000008920 | CARESPOT - DURBIN PARK | ACTIVE | 2019-01-17 | 2029-12-31 | No data | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027 |
| G12000067623 | CARESPOT EXPRESS HEALTHCARE | ACTIVE | 2012-07-06 | 2027-12-31 | No data | 115 EAST PARK DRIVE, SUITE #300, BRENTWOOD, TN, 37027 |
| G10000037092 | SOLANTIC BAPTIST URGENT CARE | EXPIRED | 2010-04-27 | 2015-12-31 | No data | 8711 PERIMETER PARK BLVD, SUITE 6, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-10 | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 10151 Deerwood Park Blvd., Building 400, Suite 200, Jacksonville, FL 32256 | No data |
| REINSTATEMENT | 2019-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-08 | CT CORPORATION SYSTEM | No data |
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2019-08-01 | No data | No data |
| LC AMENDMENT | 2013-01-10 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-19 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-10 |
| AMENDED ANNUAL REPORT | 2024-03-13 |
| AMENDED ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-01-26 |
| AMENDED ANNUAL REPORT | 2021-07-12 |
| AMENDED ANNUAL REPORT | 2021-06-15 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-16 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
