| Entity Name: | BAYSIDE URGENT CARE CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAYSIDE URGENT CARE CENTER 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: | 11 Oct 2010 (15 years ago) |
| Document Number: | P10000083062 |
| FEI/EIN Number |
273670095
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1001 S. FORT HARRISON AVE, SUITE 101, CLEARWATER, FL, 33756, US |
| Mail Address: | 1001 S. FORT HARRISON AVE, SUITE 101, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619257755 | 2011-08-21 | 2011-08-21 | 10030 NEW PARKE RD, TAMPA, FL, 336265414, US | 1001 S FORT HARRISON AVE, SUITE 101, CLEARWATER, FL, 337563905, US | |||||||||||||||||||||||||
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| Phone | +1 813-508-2225 |
| Fax | 8139204999 |
Authorized person
| Name | DR. RICHARD PETERKIN WALLACE |
| Role | PRESIDENT/CEO |
| Phone | 8135082225 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | BTR-0029514 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270183900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALLACE RICHARD P | Director | 1001 S. FT. HARRISON AVE. STE 101, CLEARWATER, FL, 33756 |
| WALLACE RICHARD P | Treasurer | 1001 S. FT. HARRISON AVE. STE 101, CLEARWATER, FL, 33756 |
| WALLACE RICHARD P | Secretary | 1001 S. FT. HARRISON AVE. STE 101, CLEARWATER, FL, 33756 |
| WALLACE RICHARD P | President | 1001 S. FT. HARRISON AVE. STE 101, CLEARWATER, FL, 33756 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-17 | 1001 S. FORT HARRISON AVE, SUITE 101, CLEARWATER, FL 33756 | - |
| CHANGE OF MAILING ADDRESS | 2011-08-17 | 1001 S. FORT HARRISON AVE, SUITE 101, CLEARWATER, FL 33756 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001172965 | TERMINATED | 13-1592 CI 7 | PINELLAS COUNTY CIRCUIT COURT | 2013-07-08 | 2018-07-10 | $23,553.94 | PHYSICIAN SALES & SERVICE, INC., C/O WILLIAM M. LINDEMAN, P.A., P.O. BOX 3506, ORLANDO, FL 32802 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-23 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4736755005 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3836807100 | 2020-04-12 | 0455 | PPP | 1001 S Fort Harrison Ave STE 101, CLEARWATER, FL, 33756-3905 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
