| Entity Name: | FAMILY FIRST TELEHEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Aug 2024 (6 months ago) |
| Document Number: | L24000048388 |
| FEI/EIN Number | 992795947 |
| Address: | 840 E SEMORAM BLVD STE 200, APOPKA, FL, 32703, US |
| Mail Address: | PO BOX 124, PLYMOUTH, FL, 32768, US |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841028271 | 2024-07-25 | 2024-09-16 | 2315 PALMETUM LOOP, APOPKA, FL, 327126068, US | 840 E SEMORAN BLVD STE 200, APOPKA, FL, 327035517, US | |||||||||||||||||||||
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| Phone | +1 407-496-4810 |
| Fax | 4076471930 |
| Phone | +1 407-900-1966 |
Authorized person
| Name | MRS. KRISTEN M ROBERTS |
| Role | FOUNDER |
| Phone | 4074964810 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBERTS, FNP-C KRISTEN | Agent | 2315 PALMETUM LOOP, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| ROBERTS KRISTEN M | Authorized Member | 2315 PALMETUM LOOP, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| ROBERTS KRISTEN | President | 2315 PALMETUM LOOP, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| ROBERTS EDWIN J | Vice President | 2315 PALMETUM LOOP, APOPKA, FL, 32712 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137935 | FAMILY FIRST HEALTH | ACTIVE | 2024-11-11 | 2029-12-31 | No data | PO BOX 124, PLYMOUTH, FL, 32768 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-13 | 840 E SEMORAM BLVD STE 200, APOPKA, FL 32703 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-13 | ROBERTS, FNP-C, KRISTEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-13 | 2315 PALMETUM LOOP, APOPKA, FL 32712 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-12 | 840 E SEMORAM BLVD STE 200, APOPKA, FL 32703 | No data |
| LC AMENDMENT | 2024-03-25 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-13 |
| LC Amendment | 2024-03-25 |
| Florida Limited Liability | 2024-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
