| Entity Name: | FAMILY FIRST PHYSICIAN SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jun 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Oct 2016 (8 years ago) |
| Document Number: | L14000097350 |
| FEI/EIN Number | 47-1125377 |
| Address: | 4273 NE WATT DR, JENSEN BEACH, FL 34957 |
| Mail Address: | 4273 NE WATT DR, JENSEN BEACH, FL 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538789847 | 2020-04-16 | 2020-04-16 | 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US | 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US | |||||||||||||
|
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| Phone | +1 772-208-3057 |
Authorized person
| Name | JASON WATT |
| Role | OWNER |
| Phone | 7722083057 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROC, GEORGY | Agent | 2711 N ANDREWS AVE, WILTON MANORS, FL 33311 |
| Name | Role | Address |
|---|---|---|
| WATT, JASON, Dr. | Manager | 4273 NE WATT DRIVE, JENSEN BEACH, FL 34957 |
| WATT, ASONETH | Manager | 2292 RIDGEWOOD CIRCLE, WEST PALM BEACH, FL 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 4273 NE WATT DR, JENSEN BEACH, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-28 | 4273 NE WATT DR, JENSEN BEACH, FL 34957 | No data |
| LC AMENDMENT | 2016-10-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-02-14 |
| LC Amendment | 2016-10-17 |
| AMENDED ANNUAL REPORT | 2016-04-14 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
