| Entity Name: | 1ST CALL PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Oct 2019 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000252697 |
| FEI/EIN Number | 843469329 |
| Address: | 173 NORTH CHARLES RICHARD BEALL BLVD., SUITE #106, DEBARY, FL, 32713, US |
| Mail Address: | 173 NORTH CHARLES RICHARD BEALL BLVD., SUITE #106, DEBARY, FL, 32713, US |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548871866 | 2020-08-11 | 2020-08-11 | 955 S WOODLAND BLVD STE A1, DELAND, FL, 327207321, US | 955 S WOODLAND BLVD STE A1, DELAND, FL, 327207321, US | |||||||||||||
|
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| Phone | +1 662-820-1099 |
Authorized person
| Name | JOHN KAYOMA |
| Role | MEDICAL DIRECTOR |
| Phone | 6628201099 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KAYOMA JOHN B | Agent | 15206 PLANTATION LAKES CIRCLE, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| KAYOMA JOHN B | Manager | 15206 PLANTATION LAKES CIRCLE, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-21 |
| Florida Limited Liability | 2019-10-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
