| Entity Name: | FFPCCP WIND DOWN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Oct 2015 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 19 Dec 2024 (a month ago) |
| Document Number: | L15000178326 |
| FEI/EIN Number | 32-0478570 |
| Address: | 7500 S.W. 8th Street, Ste. 400, Miami, FL 33144 |
| Mail Address: | 7500 S.W. 8th Street, Ste. 400, Miami, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609231299 | 2015-12-23 | 2015-12-23 | PO BOX 13188, TAMPA, FL, 336813188, US | 7463 STATE ROAD 52, HUDSON, FL, 346676714, US | |||||||||||||||
|
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| Phone | +1 727-873-3891 |
Authorized person
| Name | OCTAVIO BUTCH BRAVO |
| Role | CEO |
| Phone | 3059051399 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MB MEDICAL OPERATIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Sama, Michael | Chief Executive Officer | 7500 S.W. 8th Street, Ste. 400 Miami, FL 33144 |
| MCBRIDE, PAUL | Chief Executive Officer | 7500 SW 8 ST STE 400, MIAMI, FL 33144 |
| SAMA, MICHAEL | 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, Ste. 400 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 K | CRO | 7500 SW 8 ST STE 400, MIAMI, FL 33144 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000152392 | 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 | FFPCCP 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: 20 Jan 2025
Sources: Florida Department of State
