| Entity Name: | FAMILY CHOICE HEALTH CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 May 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L08000049386 |
| FEI/EIN Number | 263973913 |
| Address: | 10606 HOLLY CREST DRIVE, ORLANDO, FL, 32836, US |
| Mail Address: | P.O. BOX 1082, WINDERMERE, FL, 34786, US |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952637258 | 2009-10-22 | 2012-12-05 | 431 W VINE ST, KISSIMMEE, FL, 347414189, US | 431 W VINE ST, KISSIMMEE, FL, 347414189, US | |||||||||||||||||||||||||
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| Phone | +1 407-846-0044 |
| Fax | 4075189146 |
Authorized person
| Name | DR. NASIMUL HAQ SIDDIQUI |
| Role | OWNER |
| Phone | 4078460044 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME99509 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 251637300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI NASIMUL H | Agent | 10606 HOLLY CREST DRIVE, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI NASIMUL H | Managing Member | 10606 HOLLY CREST DRIVE, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| ALI SAMREEN | Manager | 10606 HOLLY CREST DRIVE, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-31 | 10606 HOLLY CREST DRIVE, ORLANDO, FL 32836 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-31 | 10606 HOLLY CREST DRIVE, ORLANDO, FL 32836 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-31 | 10606 HOLLY CREST DRIVE, ORLANDO, FL 32836 | No data |
| CANCEL ADM DISS/REV | 2009-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-17 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-04-22 |
| REINSTATEMENT | 2009-10-16 |
| Florida Limited Liability | 2008-05-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
