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FAMILY FIRST VISION CARE, PLLC

Company Details

Entity Name: FAMILY FIRST VISION CARE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 May 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Oct 2020 (4 years ago)
Document Number: L17000107226
FEI/EIN Number 82-1576680
Address: 4124 RIPKEN CIRCLE WEST, JACKSONVILLE, FL, 32224, US
Mail Address: 4680 Parkway Dr Ste 202, Mason, OH, 45040, US
ZIP code: 32224
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417706094 2024-05-15 2024-05-15 PO BOX 631665, CINCINNATI, OH, 452631665, US 1929A W BRANDON BLVD, BRANDON, FL, 335114813, US

Contacts

Phone +1 813-681-8880
Fax 8136818743

Authorized person

Name KRYSTAL VAN DRESAR
Role DIRECTOR OF RCM
Phone 6148310265

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
WOMACK JOHN TJR. Agent 4124 RIPKEN CIRCLE WEST, JACKSONVILLE, FL, 32224

Authorized Member

Name Role Address
WOMACK JOHN TJR. Authorized Member 4124 RIPKEN CIRCLE WEST, JACKSONVILLE, FL, 32224

Manager

Name Role Address
Noble William Manager 4680 Parkway Dr, Ste 202, Mason, OH, 45040

Events

Event Type Filed Date Value Description
MERGER 2024-12-03 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. MERGER NUMBER 900000264279
CHANGE OF MAILING ADDRESS 2022-01-27 4124 RIPKEN CIRCLE WEST, JACKSONVILLE, FL 32224 No data
REINSTATEMENT 2020-10-28 No data No data
REGISTERED AGENT NAME CHANGED 2020-10-28 WOMACK, JOHN T, JR. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-01
REINSTATEMENT 2020-10-28
ANNUAL REPORT 2019-09-27
ANNUAL REPORT 2018-06-12
Florida Limited Liability 2017-05-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State