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DE URGENT CARE JAX, P.A. - Florida Company Profile

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Company Details

Entity Name: DE URGENT CARE JAX, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Apr 2010 (15 years ago)
Date of dissolution: 06 Oct 2015 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Oct 2015 (10 years ago)
Document Number: P10000034634
FEI/EIN Number 272434867
Address: 8777 San Jose Blvd., Suite 803, JACKSONVILLE, FL, 32217, US
Mail Address: 8777 San Jose Blvd., Suite 803, JACKSONVILLE, FL, 32217, US
ZIP code: 32217
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Holmes Kay President 13457 Atlantic Blvd., JACKSONVILLE, FL, 32225
Sullivan Ellen J Vice President 8777 San Jose Blvd., JACKSONVILLE, FL, 32217
Sullivan Gerard JJr. Agent 8777 San Jose Blvd., JACKSONVILLE, FL, 32217

Unique Entity ID

CAGE Code:
6C0B5
UEI Expiration Date:
2015-07-25

Business Information

Doing Business As:
DOCTORS EXPRESS
Activation Date:
2014-07-25
Initial Registration Date:
2011-04-02

Commercial and government entity program

CAGE number:
6C0B5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2015-07-25

Contact Information

POC:
ELLEN SULLIVAN

National Provider Identifier

NPI Number:
1548580012

Authorized Person:

Name:
KAY HOLMES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9042209110

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-10-06 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-17 8777 San Jose Blvd., Suite 803, JACKSONVILLE, FL 32217 -
CHANGE OF MAILING ADDRESS 2014-04-17 8777 San Jose Blvd., Suite 803, JACKSONVILLE, FL 32217 -
REGISTERED AGENT NAME CHANGED 2014-04-17 Sullivan, Gerard J, Jr. -
REGISTERED AGENT ADDRESS CHANGED 2014-04-17 8777 San Jose Blvd., Suite 803, JACKSONVILLE, FL 32217 -

Documents

Name Date
Voluntary Dissolution 2015-10-06
ANNUAL REPORT 2015-04-14
ANNUAL REPORT 2014-04-17
ANNUAL REPORT 2013-04-01
ANNUAL REPORT 2012-03-16
ANNUAL REPORT 2011-01-16
ADDRESS CHANGE 2010-07-30
Domestic Profit 2010-04-21

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Date of last update: 02 Jul 2025

Sources: Florida Department of State