| Entity Name: | MIAMI URGENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jan 2004 (21 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 01 Dec 2022 (2 years ago) |
| Document Number: | P04000023623 |
| FEI/EIN Number | 522451705 |
| Address: | 2645 S DOUGLAS ROAD, #502, MIAMI, FL, 33133, US |
| Mail Address: | 2645 S DOUGLAS ROAD, #502, MIAMI, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689769614 | 2006-10-04 | 2020-08-22 | 3800 N MIAMI AVE, MIAMI, FL, 33127, US | 3800 N MIAMI AVE, MIAMI, FL, 33127, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-576-4800 |
| Fax | 3055764804 |
Authorized person
| Name | DR. CHRISTOPHER G WAYNE |
| Role | PRESIDENT |
| Phone | 3055764800 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5799 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS7523 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 80307 |
| Name | Role | Address |
|---|---|---|
| Martinez Samantha | Agent | 2645 S DOUGLAS ROAD, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| Martinez Samantha | President | 2645 S DOUGLAS ROAD, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-24 | Martinez, Samantha | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 2645 S DOUGLAS ROAD, #502, MIAMI, FL 33133 | No data |
| AMENDMENT AND NAME CHANGE | 2022-12-01 | MIAMI URGENT CARE, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-23 | 2645 S DOUGLAS ROAD, #502, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-23 | 2645 S DOUGLAS ROAD, #502, MIAMI, FL 33133 | No data |
| CANCEL ADM DISS/REV | 2007-02-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-24 |
| Amendment and Name Change | 2022-12-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
