| Entity Name: | MERCY MEDICAL URGENT CARE CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 2014 (11 years ago) |
| Document Number: | P14000025726 |
| FEI/EIN Number | 46-5217146 |
| Address: | 2786 W US HWY 90, Suite 105, LAKE CITY, FL, 32055, US |
| Mail Address: | 2786 W US HWY 90, Suite 105, LAKE CITY, FL, 32055, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891113064 | 2014-04-03 | 2023-04-26 | 2786 W US HIGHWAY 90 STE 105, LAKE CITY, FL, 320557723, US | 2786 W US HIGHWAY 90 STE 105, LAKE CITY, FL, 320557723, US | |||||||||||||||||||||||||||
|
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| Phone | +1 386-758-2944 |
| Fax | 3867589822 |
Authorized person
| Name | MONA FLOYD |
| Role | PRESIDENT |
| Phone | 3867582944 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013907900 |
| State | FL |
| Issuer | BCBS |
| Number | B90PP |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLOYD MONA Z | Agent | 2786 W US HWY 90, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| FLOYD MONA Z | President | 2786 W US HWY 90, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| ZANATY MOHAMED | Vice President | 2786 W US HWY 90, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| ZANATY GHADA K | Secretary | 2786 W US HWY 90, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-05 | 2786 W US HWY 90, Suite 105, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-05 | 2786 W US HWY 90, Suite 105, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-05 | 2786 W US HWY 90, Suite 105, LAKE CITY, FL 32055 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000368112 | TERMINATED | 1000000714777 | COLUMBIA | 2016-06-06 | 2026-06-08 | $ 1,921.92 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HIGHWAY 441 STE 100, ALACHUA FL326156390 |
| J16000048722 | TERMINATED | 1000000702406 | COLUMBIA | 2016-01-06 | 2026-01-21 | $ 643.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HIGHWAY 441 STE 100, ALACHUA FL326156390 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-09-20 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
