| Entity Name: | SHANDS/SOLANTIC JOINT VENTURE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Apr 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2019 (5 years ago) |
| Document Number: | M09000001336 |
| FEI/EIN Number | 264732338 |
| Address: | 10151 Deerwood Park Blvd., Building 400, Jacksonville, FL, 32256, US |
| Mail Address: | 115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN, 37027, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740955681 | 2021-08-12 | 2021-08-12 | 115 EASTPARK DR, BRENTWOOD, TN, 370277548, US | 3925 NW 43RD ST, GAINESVILLE, FL, 326064565, US | |||||||||||||||||
|
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| Phone | +1 615-600-4100 |
| Phone | +1 352-371-1777 |
| Fax | 3523710298 |
Authorized person
| Name | SIERRA MANNING |
| Role | CREDENTIALING COORDINATOR |
| Phone | 9049005436 |
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 |
|---|---|
| SOLANTIC OF ORLANDO LLC | Manager |
| Name | Role | Address |
|---|---|---|
| GINTER SHAUN | Chief Executive Officer | 10151 Deerwood Park Blvd., Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| MOHAMED WAEL | Chief Financial Officer | 10151 Deerwood Park Blvd., Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| WALSH RICHARD | Chief Operating Officer | 10151 Deerwood Park Blvd., Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| COYNE FRAN | Othe | 10151 Deerwood Park Blvd., Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| Geissbuhler Mandylynn | Secretary | 10151 Deerwood Park Blvd., Jacksonville, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000051419 | CARESPOT EXPRESS HEALTHCARE | ACTIVE | 2018-04-24 | 2028-12-31 | No data | 2415 SW COLLEGE ROAD, OCALA, FL, 34471 |
| G12000069342 | CARESPOT EXPRESS HEALTHCARE | ACTIVE | 2012-07-11 | 2027-12-31 | No data | 115 EAST PARK DRIVE, SUITE #300, BRENTWOOD, TN, 37027 |
| 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 |
| REGISTERED AGENT NAME CHANGED | 2019-10-08 | CT CORPORATION SYSTEM | No data |
| REINSTATEMENT | 2019-10-08 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-02 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2019-08-02 | No data | No data |
| LC AMENDMENT | 2013-01-10 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-10 |
| AMENDED ANNUAL REPORT | 2024-02-15 |
| AMENDED ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-08-09 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-16 |
| REINSTATEMENT | 2019-10-08 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
