| Entity Name: | HEATHROW URGENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Mar 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P05000047884 |
| FEI/EIN Number | 202594577 |
| Address: | 920 International Parkway, LAKE MARY, FL, 32476, US |
| Mail Address: | 920 International Parkway, LAKE MARY, FL, 32476, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073767711 | 2008-11-07 | 2008-11-10 | 1125 TOWNPARK AVE, HEATHROW, FL, 327464791, US | 118 W FAIRBANKS AVE, WINTER PARK, FL, 327894327, US | |||||||||||||||||||||||
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| Phone | +1 407-772-2273 |
Authorized person
| Name | DR. LANE PHILLIPS |
| Role | OWNER |
| Phone | 4077722273 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS WINTER PARK |
| Number | B916X |
| State | FL |
| Issuer | WELLCARE, STAYWELL, HEALTHEASE |
| Number | 329964 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEATHROW URGENT CARE 401(K) PLAN | 2012 | 202594577 | 2013-05-31 | HEATHROW URGENT CARE | 6 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-05-31 |
| Name of individual signing | LANE PHILLIPS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 4078049494 |
| Plan sponsor’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
Plan administrator’s name and address
| Administrator’s EIN | 202594577 |
| Plan administrator’s name | HEATHROW URGENT CARE |
| Plan administrator’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
| Administrator’s telephone number | 4078049494 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-27 |
| Name of individual signing | LANE PHILLIPS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 4078049494 |
| Plan sponsor’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
Plan administrator’s name and address
| Administrator’s EIN | 202594577 |
| Plan administrator’s name | HEATHROW URGENT CARE |
| Plan administrator’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
| Administrator’s telephone number | 4078049494 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-07 |
| Name of individual signing | LANE PHILLIPS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 4078049494 |
| Plan sponsor’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
Plan administrator’s name and address
| Administrator’s EIN | 202594577 |
| Plan administrator’s name | HEATHROW URGENT CARE |
| Plan administrator’s address | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
| Administrator’s telephone number | 4078049494 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-23 |
| Name of individual signing | LANE PHILLIPS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PHILLIPS LANE | Agent | 920 International Parkway, LAKE MARY, FL, 32476 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS LANE D | Director | 725 BROADOAK LOOP, SANFORD, FL, 32771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08064900032 | ALTAMONTE URGENT CARE | EXPIRED | 2008-03-04 | 2013-12-31 | No data | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
| G08064900033 | LONGWOOD URGENT CARE | EXPIRED | 2008-03-04 | 2013-12-31 | No data | 1125 TOWN PARK AVENUE, SUITE 1011, HEATHROW, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-01 | 920 International Parkway, Suite 1056, LAKE MARY, FL 32476 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-01 | 920 International Parkway, Suite 1056, LAKE MARY, FL 32476 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-01 | 920 International Parkway, Suite 1056, LAKE MARY, FL 32476 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-03 | PHILLIPS, LANE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
