| Entity Name: | FAMILY FIRST MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FAMILY FIRST MEDICAL CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Jan 2007 (18 years ago) |
| Date of dissolution: | 20 Jun 2014 (11 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Jun 2014 (11 years ago) |
| Document Number: | L07000007625 |
| FEI/EIN Number |
208283403
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1012 DRUID ROAD EAST, STE 100, CLEARWATER, FL, 33756 |
| Mail Address: | 1012 DRUID ROAD EAST, STE 100, CLEARWATER, FL, 33756 |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245379965 | 2007-02-06 | 2008-06-11 | 1012 DRUID RD E, SUITE 100, CLEARWATER, FL, 337565606, US | 1012 DRUID RD E, SUITE 100, CLEARWATER, FL, 337565606, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-443-4242 |
| Fax | 7274411158 |
Authorized person
| Name | JAYAM KRISHNA IYER |
| Role | MANAGER |
| Phone | 7274434242 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME44742 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME26372 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP PROVIDER NUMBER |
| Number | AC110 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRISHNAIYER JAYAM | Managing Member | 2365 HADDON HALL PL, CLEARWATER, FL, 33764 |
| O'CONNOR PATRICK M | Agent | C/O O'CONNOR & ASSOCIATES, LARGO, FL, 33771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000094509 | HOLISTIC VEDA AND YOGA | EXPIRED | 2012-09-26 | 2017-12-31 | - | 1012 DRUID RD E, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2014-06-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-27 | 1012 DRUID ROAD EAST, STE 100, CLEARWATER, FL 33756 | - |
| CHANGE OF MAILING ADDRESS | 2009-01-27 | 1012 DRUID ROAD EAST, STE 100, CLEARWATER, FL 33756 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2014-06-20 |
| ANNUAL REPORT | 2014-04-09 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-27 |
| ANNUAL REPORT | 2008-04-28 |
| Florida Limited Liability | 2007-01-22 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
