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FIRST COMMUNITY CARE, INC.

Company Details

Entity Name: FIRST COMMUNITY CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 29 Aug 2011 (13 years ago)
Document Number: N11000008188
FEI/EIN Number 59-0696287
Address: 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805
Mail Address: 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805
ZIP code: 32805
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124324934 2011-01-27 2014-03-21 3125 BRUTON BLVD, SUITE A, ORLANDO, FL, 32805, US 3125 BRUTON BLVD, SUITE A, ORLANDO, FL, 32805, US

Contacts

Phone +1 407-514-4470

Authorized person

Name MRS. KARI BOZARD RUSSO
Role DIRECTOR /LICENSED MENTAL HEALTH
Phone 4075144470

Taxonomy

Taxonomy Code 101Y00000X - Counselor
State FL
Is Primary No
Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH5041
State FL
Is Primary No
Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
State FL
Is Primary Yes

Agent

Name Role Address
CRAMER CHARLES W Agent 1420 EDGEWATER DR SUITE 200, ORLANDO, FL, 32804

President

Name Role Address
davis james President 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805

Officer

Name Role Address
Robinson Matthew Officer 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805

Treasurer

Name Role Address
Hair Alan Treasurer 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805

dire

Name Role Address
bowen brian dire 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805

cfo

Name Role Address
hartsfield brian cfo 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000100238 FIRST ORLANDO COUNSELING CENTER ACTIVE 2024-08-22 2029-12-31 No data 3000 S. JOHN YOUNG PKWY., ORLANDO, FL, 32805
G24000100245 FIRST ORLANDO CENTER FOR PREGNANCY ACTIVE 2024-08-22 2029-12-31 No data 3000 S. JOHN YOUNG PKWY., ORLANDO, FL, 32805
G24000100252 FIRST LIFE CENTER FOR PREGNANCY ACTIVE 2024-08-22 2029-12-31 No data 3000 S. JOHN YOUNG PKWY., ORLANDO, FL, 32805

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-10-26 1420 EDGEWATER DR SUITE 200, ORLANDO, FL 32804 No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-01
AMENDED ANNUAL REPORT 2021-10-26
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-03-07
ANNUAL REPORT 2018-02-06
AMENDED ANNUAL REPORT 2017-07-05
AMENDED ANNUAL REPORT 2017-06-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State