| Entity Name: | FAMILY CENTERED PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000012228 |
| Address: | 4760 TAMIAMI TRAIL N, UNIT 24, NAPLES, FL, 34103, US |
| Mail Address: | 2343 TRADITIONS COURT, NAPLES, FL, 34105, US |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518467935 | 2018-02-13 | 2018-02-23 | 4760 TAMIAMI TRL N STE 24, NAPLES, FL, 341033065, US | 4760 TAMIAMI TRL N STE 24, NAPLES, FL, 341033065, US | |||||||||||||||||
|
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| Phone | +1 239-220-8875 |
Authorized person
| Name | TERI L NIES |
| Role | OWNER |
| Phone | 2392208875 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9220215 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LAW OFFICE OF CONRAD WILLKOMM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| NIES TERI L | Manager | 2343 TRADITIONS COURT, NAPLES, FL, 34105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-01-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
