| Entity Name: | FAMILY CARE AFFILIATES OF OCALA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Sep 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L14000146959 |
| FEI/EIN Number | 47-1875937 |
| Address: | 1830 SE 18TH AVE STE 3, OCALA, FL, 34471 |
| Mail Address: | 1830 SE 18TH AVE STE 3, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598163990 | 2014-12-17 | 2015-01-19 | 1830 SE 18TH AVE, SUITE #3, OCALA, FL, 344718348, US | 1830 SE 18TH AVE, SUITE #3, OCALA, FL, 344718348, US | |||||||||||||||||||||||||
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| Phone | +1 352-690-6000 |
| Fax | 3526906643 |
Authorized person
| Name | CHRISTIAN ORAEDU |
| Role | MANAGING MEMBER |
| Phone | 3526906000 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN-203 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001015100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERGMAN CLAUDETTE CPA | Agent | 146 BRYAN CAVE RD, SOUTH DAYTONA, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| ORAEDU CHRISTIAN | Manager | 6751 SE 12TH CIRCLE, OCALA, FL, 34480 |
| Name | Role | Address |
|---|---|---|
| ORAEDU ROSEMARY O | Member | 6751 SE 12TH CIRCLE, OCALA, FL, 34480 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-27 |
| Florida Limited Liability | 2014-09-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
