| Entity Name: | FIRST STOP URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Mar 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | M15000001988 |
| FEI/EIN Number | 38-3942254 |
| Address: | 1230 3RD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Mail Address: | 4655 SALISBURY ROAD, SUITE 200, JACKSONVILLE, FL, 32256 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235511494 | 2015-06-24 | 2015-08-27 | 4655 SALISBURY RD, SUITE 200, JACKSONVILLE, FL, 322560902, US | 47 W ADAMS ST, JACKSONVILLE, FL, 322023601, US | |||||||||||||||||||
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| Phone | +1 904-746-3350 |
Authorized person
| Name | DR. ALEXIS VAZQUEZ |
| Role | OWNER |
| Phone | 9047463350 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014267300 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRST STOP URGENT CARE, LLC 401(K) PLAN | 2017 | 383942254 | 2018-03-28 | FIRST STOP URGENT CARE, LLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-03-28 |
| Name of individual signing | CHAD BAILEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-05 |
| Business code | 621493 |
| Sponsor’s telephone number | 9043983262 |
| Plan sponsor’s address | 4655 SALISBURY ROAD, SUITE 200, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-13 |
| Name of individual signing | CHAD BAILEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-05 |
| Business code | 621493 |
| Sponsor’s telephone number | 9043983262 |
| Plan sponsor’s address | 4655 SALISBURY ROAD, SUITE 200, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-30 |
| Name of individual signing | CHAD BAILEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ ALEXIS D.O. | Agent | 1230 3RD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ ALEXIS D.O. | Manager | 1230 3RD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-03-01 | 1230 3RD STREET SOUTH, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-01 | 1230 3RD STREET SOUTH, JACKSONVILLE BEACH, FL 32250 | No data |
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-08 |
| Foreign Limited | 2015-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
