| Entity Name: | FLORIDA FIRST HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Apr 2016 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000081276 |
| FEI/EIN Number | 81-2473827 |
| Address: | 233 W 14TH STREET, PANAMA CITY, FL, 32401 |
| Mail Address: | 233 W 14TH STREET, PANAMA CITY, FL, 32401 |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932669702 | 2019-03-20 | 2019-03-20 | 233 W 14TH ST, PANAMA CITY, FL, 324012205, US | 1514 W 23RD ST, PANAMA CITY, FL, 324052905, US | |||||||||||||||||||
|
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| Phone | +1 850-640-2319 |
| Phone | +1 850-640-4040 |
Authorized person
| Name | KELLEE MANNING |
| Role | CREDENTIALING MANAGER |
| Phone | 8507693191 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | X7B55 |
| Name | Role | Address |
|---|---|---|
| MADEWELL MICHAEL P | Agent | 408 E BEACH DRIVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| MADEWELL MICHAEL | Manager | 233 W 14TH STREET, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-15 |
| Florida Limited Liability | 2016-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
