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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MICHAELS SCOTT R | Agent | 3560 A1A South, ST AUGUSTINE, FL, 32080 |
Name | Role | Address |
---|---|---|
MICHAELS SCOTT RDr. | President | 3560 A1A South, SAINT AUGUSTINE, FL, 32080 |
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 |
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