Search icon

FAMILY FIRST MEDICAL PHYSICIANS, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: FAMILY FIRST MEDICAL PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 12 Oct 2021 (4 years ago)
Document Number: M21000003929
FEI/EIN Number 86-3038925
Address: 425 W. COLONIAL DR., STE 303, Orlando, FL, 32804, US
Mail Address: 425 W. COLONIAL DR., STE 303, Orlando, FL, 32804, US
ZIP code: 32804
City: Orlando
County: Orange
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Malton Douglas Manager 6900 Tavistock Lakes Blvd., Orlando, FL, 32827
- Sole -
Abbott Will Manager 6900 Tavistock Lakes Blvd., Orlando, FL, 32827
Abbott Will Chief Operating Officer 6900 Tavistock Lakes Blvd., Orlando, FL, 32827
Brown David Secretary 6900 Tavistock Lakes Blvd., Orlando, FL, 32827
Ravi Chari Chief Operating Officer 6900 Tavistock Lakes Blvd., Orlando, FL, 32827
- Agent -

National Provider Identifier

NPI Number:
1043985161
Certification Date:
2021-08-11

Authorized Person:

Name:
DWIGHT PEREZ
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8634227786

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000104201 VIVIFI AESTHECTIC CLINIC ACTIVE 2021-08-11 2026-12-31 - 425 W COLONIAL DR STE 303, ORLANDO, FL, 32804
G21000081417 FAMILY FIRST MEDICAL CENTER ACTIVE 2021-06-18 2026-12-31 - 425 W COLONIAL DRIVE STE 303, ORLANDO, FL, 32804

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-03 425 W. COLONIAL DR., STE 303, Orlando, FL 32804 -
CHANGE OF MAILING ADDRESS 2025-01-03 425 W. COLONIAL DR., STE 303, Orlando, FL 32804 -
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 -
CHANGE OF MAILING ADDRESS 2024-04-24 6900 Tavistock Lakes Blvd., Suite 300, Orlando, FL 32827 -
LC AMENDMENT 2021-10-12 - -
LC AMENDMENT 2021-04-08 - -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-04-24
AMENDED ANNUAL REPORT 2023-12-06
AMENDED ANNUAL REPORT 2023-09-11
AMENDED ANNUAL REPORT 2023-09-08
AMENDED ANNUAL REPORT 2023-08-23
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-14
LC Amendment 2021-10-12
LC Amendment 2021-04-08

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Jul 2025

Sources: Florida Department of State