| Entity Name: | CRESTVIEW URGENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CRESTVIEW URGENT CARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 May 2009 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Sep 2017 (8 years ago) |
| Document Number: | P09000041474 |
| FEI/EIN Number |
800409574
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2400 S. Ferdon Blvd, Suite A, CRESTVIEW, FL, 32536, US |
| Mail Address: | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL, 32547 |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144458647 | 2009-06-23 | 2010-08-27 | 1502 S FERDON BLVD, CRESTVIEW, FL, 325368444, US | 1502 S FERDON BLVD, CRESTVIEW, FL, 325368444, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-398-8668 |
| Phone | +1 850-398-1079 |
Authorized person
| Name | CHARLES JOSEPH CLANCY |
| Role | PHYSICIAN ASSISTANT |
| Phone | 8503988668 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME93880 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLANCY Sheri | President | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL, 32547 |
| CLANCY SHERI | Treasurer | 132 MONAHAN DR, FORT WALTON BEACH, FL, 32547 |
| CLANCY SHERI | Agent | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL, 32547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000103491 | PERDIDO URGENT CARE | ACTIVE | 2017-09-18 | 2027-12-31 | - | 132 MONAHAN DR., FORT WALTON BEACH, FL, 32547 |
| G17000103047 | NICEVILLE URGENT CARE | ACTIVE | 2017-09-15 | 2027-12-31 | - | 132 MONAHAN DR., FORT WALTON BEACH, FL, 32547 |
| G17000019029 | NICEVILLE URGENT CARE | EXPIRED | 2017-02-21 | 2022-12-31 | - | 132 MONAHAN DR, FORT WALTON BEACH, FL, 32547 |
| G13000087584 | PERDIDO URGENT CARE | EXPIRED | 2013-09-04 | 2018-12-31 | - | 132 MONAHAN DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-09-01 | - | - |
| AMENDMENT | 2014-04-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-08-14 | CLANCY, SHERI | - |
| AMENDMENT | 2013-08-14 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-01 | 2400 S. Ferdon Blvd, Suite A, CRESTVIEW, FL 32536 | - |
| AMENDMENT | 2009-09-15 | - | - |
| CHANGE OF MAILING ADDRESS | 2009-08-20 | 2400 S. Ferdon Blvd, Suite A, CRESTVIEW, FL 32536 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-08-20 | 132 MONAHAN DRIVE, FT. WALTON BEACH, FL 32547 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-13 |
| Amendment | 2017-09-01 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6165258709 | 2021-04-03 | 0491 | PPS | 2400 S Ferdon Blvd, Crestview, FL, 32536-6460 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 9827787701 | 2020-05-01 | 0491 | PPP | 2400 FERDON BLVD, CRESTVIEW, FL, 32536 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
