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FRIENDLY URGENT CARE, INC.

Company Details

Entity Name: FRIENDLY URGENT CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Oct 2009 (15 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P09000089796
FEI/EIN Number 27-1309010
Address: 3121 WEST HALLANDALE BEACH BLVD, 101, PEMBROKE PARK, FL 33009
Mail Address: 3121 WEST HALLANDALE BEACH BLVD, 101, PEMBROKE PARK, FL 33009
ZIP code: 33009
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851698401 2011-02-17 2011-02-17 3121 W HALLANDALE BEACH BLVD, SUITE 101, HALLANDALE, FL, 330095149, US 3121 W HALLANDALE BEACH BLVD, SUITE 101, HALLANDALE, FL, 330095149, US

Contacts

Phone +1 305-533-8478
Fax 3053376305

Authorized person

Name CATHLEEN CAREW
Role ADMINISTRATOR
Phone 3055338478

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes
Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary No

Agent

Name Role Address
CAREW, CATHLEEN Agent 3121 WEST HALLANDLE BEACH BLVD., 101, PEMBROKE PARK, FL 33009

President

Name Role Address
WAYNE, CHRISTOPHER President 4912 PINE TREE DRIVE, MIAMI BEACH, FL 33140

Director

Name Role Address
WAYNE, CHRISTOPHER Director 4912 PINE TREE DRIVE, MIAMI BEACH, FL 33140

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000008476 PARK PLACE MEDICAL GROUP EXPIRED 2011-01-20 2016-12-31 No data 3121 HALLANDALE BEACH BLVD., SUITE 101, PEMBROKE PARK, FL, 33009

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF MAILING ADDRESS 2011-01-14 3121 WEST HALLANDALE BEACH BLVD, 101, PEMBROKE PARK, FL 33009 No data
REGISTERED AGENT NAME CHANGED 2011-01-14 CAREW, CATHLEEN No data
REGISTERED AGENT ADDRESS CHANGED 2011-01-14 3121 WEST HALLANDLE BEACH BLVD., 101, PEMBROKE PARK, FL 33009 No data
CHANGE OF PRINCIPAL ADDRESS 2010-03-03 3121 WEST HALLANDALE BEACH BLVD, 101, PEMBROKE PARK, FL 33009 No data

Documents

Name Date
ANNUAL REPORT 2011-02-24
ANNUAL REPORT 2011-02-21
ANNUAL REPORT 2011-01-20
ANNUAL REPORT 2011-01-14
ANNUAL REPORT 2010-03-03
Domestic Profit 2009-10-29

Date of last update: 25 Jan 2025

Sources: Florida Department of State