| Entity Name: | ER URGENT CARE & DIAGNOSTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jun 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P10000052051 |
| FEI/EIN Number | 272984571 |
| Address: | 4121 N.W. 5TH STREET, SUITE 100, PLANTATION, FL, 33317 |
| Mail Address: | 4121 N.W. 5TH STREET, SUITE 100, PLANTATION, FL, 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023326824 | 2010-09-15 | 2011-03-21 | 4141 NW 5TH ST, 100, PLANTATION, FL, 333172180, US | 4141 NW 5TH ST, 100, PLANTATION, FL, 333172180, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-581-1581 |
| Fax | 9545810543 |
Authorized person
| Name | DR. JEAN MARIE EUGENE |
| Role | MEDICAL DIRECTOR |
| Phone | 9545811581 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9049 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME43064 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLDRICH DONALD S | Agent | 480 JEFFERSON DRIVE, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| EUGENE JEAN MARIE G | Director | PO BOX 16404, PLANTATION, FL, 33318 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2011-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2011-03-21 | ER URGENT CARE & DIAGNOSTIC, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-29 |
| REINSTATEMENT | 2011-11-14 |
| Amendment and Name Change | 2011-03-21 |
| Domestic Profit | 2010-06-21 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
