| Entity Name: | WOMEN & CHILDREN FIRST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2001 (24 years ago) |
| Document Number: | L01000006193 |
| FEI/EIN Number | 593716071 |
| Address: | 2950 greystone Dr, Pace, FL, 32571, US |
| Mail Address: | 2950 greystone dr, pace, FL, 32571, US |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699945170 | 2008-03-11 | 2015-01-23 | 31 E MACK BAYOU DR, SANTA ROSA BEACH, FL, 324597102, US | 31 E MACK BAYOU DR, SANTA ROSA BEACH, FL, 324597102, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-267-2292 |
| Fax | 8502673957 |
Authorized person
| Name | DR. ELLEN JENNIFER ESSES |
| Role | OWNER |
| Phone | 8502672292 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME81353 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262645400 |
| State | FL |
| Issuer | MEDICARE ID |
| Number | 38406 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LYNCH GARRICK J | Agent | 9996 SEMINOLE BLVD., SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| ESSES JENNIFER E | Managing Member | 2950 greystone dr, pace, FL, 32571 |
| Name | Role | Address |
|---|---|---|
| ESSES GREG | Manager | 2950 greystone dr, pace, FL, 32571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2009-07-08 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
