| Entity Name: | FFPCCPN WIND DOWN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Dec 2013 (11 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 19 Dec 2024 (a month ago) |
| Document Number: | L14000000535 |
| FEI/EIN Number | 46-4457075 |
| Address: | 7500 S.W. 8th Street, Miami, FL, 33144, US |
| Mail Address: | 7500 S.W. 8th Street, Miami, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861817108 | 2014-02-24 | 2014-02-25 | 6245 66TH ST N, PINELLAS PARK, FL, 337815025, US | 6245 66TH ST N, PINELLAS PARK, FL, 337815025, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 727-873-3891 |
| Fax | 7278733892 |
Authorized person
| Name | OCTAVIO 'BUTCH' BRAVO |
| Role | CEO |
| Phone | 3059051399 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MB MEDICAL OPERATIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Sama Michael | Chief Executive Officer | 7500 S.W. 8th Street, Miami, FL, 33144 |
| MCBRIDE PAUL | Chief Executive Officer | 7500 SW 8 ST STE 400, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| Kapusta Claudio | Chief Financial Officer | 7500 S.W. 8th Street, Miami, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| MCBRIDE PAUL | President | 7500 SW 8 ST STE 400, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| JOHNSON DOUGLAS | Chief Operating Officer | 7500 SW 8 ST STE 400, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| SANTIAGO ERIC | Chief Technical Officer | 7500 SW 8 ST STE 400, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL NICOLAS | CRO | 7500 SW 8 ST STE 400, MIAMI, FL, 33144 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000152391 | CLINICAL CARE MEDICAL CENTERS | ACTIVE | 2022-12-12 | 2027-12-31 | No data | 1400 NW 107TH AVENUE, STE 500, MIAMI, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-12-19 | FFPCCPN WIND DOWN, LLC | No data |
| LC AMENDMENT | 2024-10-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-16 | 7500 S.W. 8th Street, Ste. 400, Miami, FL 33144 | No data |
| REINSTATEMENT | 2024-09-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-16 | 7500 S.W. 8th Street, Ste. 400, Miami, FL 33144 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-16 | MB MEDICAL OPERATIONS, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-16 | 7500 S.W. 8th Street, Ste. 400, Miami, FL 33144 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2021-06-03 | No data | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-12-19 |
| LC Amendment | 2024-10-09 |
| REINSTATEMENT | 2024-09-16 |
| ANNUAL REPORT | 2022-02-27 |
| LC Amendment | 2021-06-03 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-23 |
| AMENDED ANNUAL REPORT | 2017-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
