| Entity Name: | FAMILY CARE 1 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jan 2011 (14 years ago) |
| Document Number: | L11000009582 |
| FEI/EIN Number | 274625274 |
| Address: | 330 SW 19th LN, CAPE CORAL, FL, 33991, US |
| Mail Address: | 330 SW 19th Ln, CAPE CORAL, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508107244 | 2013-03-05 | 2014-05-15 | 330 SW 19TH LN, CAPE CORAL, FL, 339913714, US | 1411 SE 16TH PL, CAPE CORAL, FL, 33990, US | |||||||||||||||||
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| Phone | +1 239-691-0012 |
Authorized person
| Name | ELINA TOMSKI |
| Role | OWNER |
| Phone | 2396910012 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME108892 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tomski ELINA | Agent | 330 SW 19th LN, CAPE CORAL, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| TOMSKI Elina | owne | 330 SW 19th LN, CAPE CORAL, FL, 33991 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000033232 | CAPE CORAL FAMILY MEDICAL CLINIC | EXPIRED | 2013-04-05 | 2018-12-31 | No data | 330 SW 19TH LANE, CAPE CORAL, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-28 | 330 SW 19th LN, CAPE CORAL, FL 33991 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-28 | 330 SW 19th LN, CAPE CORAL, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-15 | 330 SW 19th LN, CAPE CORAL, FL 33991 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-28 | Tomski, ELINA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
