| Entity Name: | FLORIDA FIRST PSYCHIATRY SPECIALIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jan 2019 (6 years ago) |
| Document Number: | L19000006714 |
| FEI/EIN Number | 83-3136003 |
| Address: | 1820 Miccosukee Commons Drive, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1820 Miccosukee Commons Drive, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841754959 | 2019-01-23 | 2019-09-16 | 1820 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL, 323085432, US | 1820 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL, 32308, US | |||||||||||||||
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| Phone | +1 850-765-8120 |
| Fax | 8502707733 |
Authorized person
| Name | DR. PRASANTI TATINI |
| Role | MEDICAL DOCTOR |
| Phone | 8502050189 |
Taxonomy
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCMULLEN AUSLEY | Agent | 123 S CALHOUN ST, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| Tatini Prasanti MD | Chief Executive Officer | 1820 MICCOSUKEE COMMONS DRIVE, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-18 | 1820 Miccosukee Commons Drive, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2019-11-18 | 1820 Miccosukee Commons Drive, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-07 |
| AMENDED ANNUAL REPORT | 2021-08-30 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
