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FM MEDICAL URGENT CARE, INC.

Company Details

Entity Name: FM MEDICAL URGENT CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Apr 2014 (11 years ago)
Document Number: P14000038917
FEI/EIN Number 47-1018860
Address: 3560 A1A South, SAINT AUGUSTINE, FL, 32080, US
Mail Address: 3560 A1A South, SAINT AUGUSTINE, FL, 32080, US
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053790246 2015-05-21 2023-12-11 3560 A1A SOUTH, ST AUGUSTINE, FL, 32080, US 3560 A1A SOUTH, ST AUGUSTINE, FL, 32080, US

Contacts

Phone +1 904-548-2273
Fax 9044299783

Authorized person

Name SCOTT ROBERT MICHAELS
Role OWNER
Phone 9044348196

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number ME117337
State FL
Is Primary Yes

Agent

Name Role Address
MICHAELS SCOTT R Agent 3560 A1A South, ST AUGUSTINE, FL, 32080

President

Name Role Address
MICHAELS SCOTT RDr. President 3560 A1A South, SAINT AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-31 3560 A1A South, SAINT AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2020-01-31 3560 A1A South, SAINT AUGUSTINE, FL 32080 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-31 3560 A1A South, ST AUGUSTINE, FL 32080 No data
REGISTERED AGENT NAME CHANGED 2015-02-25 MICHAELS, SCOTT R No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-07-06
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-02-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State