| Entity Name: | FLORIDA FAMILY PRACTICE & URGENT CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA FAMILY PRACTICE & URGENT CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 11 Jul 2016 (9 years ago) |
| Date of dissolution: | 28 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2023 (2 years ago) |
| Document Number: | L16000130448 |
| FEI/EIN Number |
81-3263572
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3450 E Fletcher Ave, Suite 100, TAMPA, FL, 33613, US |
| Mail Address: | 3450 E Fletcher Ave, Suite 100, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710434626 | 2016-09-08 | 2019-03-11 | 3450 E FLETCHER AVE STE 100, TAMPA, FL, 336134603, US | 3450 E FLETCHER AVE STE 100, TAMPA, FL, 336134603, US | |||||||||||||||||||||
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| Phone | +1 813-812-4133 |
| Fax | 8135013633 |
Authorized person
| Name | DR. RONALD SALAZAR MANALO |
| Role | PRESIDENT |
| Phone | 6158385198 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019212900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANALO RONALD S | Authorized Member | 3450 E Fletcher Ave, TAMPA, FL, 33613 |
| FRESH LEGAL PERSPECTIVE, PL | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000071152 | FLORIDA FAMILY PRACTICE | ACTIVE | 2016-07-19 | 2026-12-31 | - | 3450 EAST FLETCHER AVENUE, SUITE 100, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-28 | - | - |
| LC AMENDMENT | 2022-07-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2022-02-08 | 3450 E Fletcher Ave, Suite 100, TAMPA, FL 33613 | - |
| REGISTERED AGENT NAME CHANGED | 2022-02-08 | Fresh Legal Perspective, PL | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-23 | 3450 E Fletcher Ave, Suite 100, TAMPA, FL 33613 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-30 | 6930 W Linebaugh Avenue, Tampa, FL 33625 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-28 |
| LC Amendment | 2022-07-28 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-06 |
| Florida Limited Liability | 2016-07-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1698027703 | 2020-05-01 | 0455 | PPP | 3450 EAST FLETCHER AVE SUITE 100, TAMPA, FL, 33613 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
