| Entity Name: | 1ST CHOICE PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jul 2022 (3 years ago) |
| Document Number: | L22000323967 |
| FEI/EIN Number | 88-3604260 |
| Address: | 4104 W Linebaugh Ave, TAMPA, FL, 33624, US |
| Mail Address: | 4104 W Linebaugh Ave, TAMPA, FL, 33624, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891414512 | 2022-08-25 | 2022-08-25 | 812 W DR MARTIN LUTHER KING JR BLVD STE 202, TAMPA, FL, 336033338, US | 812 W DR MARTIN LUTHER KING JR BLVD STE 202, TAMPA, FL, 336033338, US | |||||||||||||
|
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| Phone | +1 813-468-3796 |
Authorized person
| Name | DANIEL WESTBROOK |
| Role | OWNER |
| Phone | 8134683796 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WESTBROOK DANIEL | Agent | 4104 W Linebaugh Ave, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| WESTBROOK DANIEL | Manager | 4104 W Linebaugh Ave, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| Odom Constance | Member | 4104 W Linebaugh Ave, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-05 | 4104 W Linebaugh Ave, Suite 201, TAMPA, FL 33624 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-05 | 4104 W Linebaugh Ave, Suite 201, TAMPA, FL 33624 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-05 | 4104 W Linebaugh Ave, Suite 201, TAMPA, FL 33624 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-05 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-03 |
| Florida Limited Liability | 2022-07-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
