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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
CRAMER CHARLES W | Agent | 1420 EDGEWATER DR SUITE 200, ORLANDO, FL, 32804 |
Name | Role | Address |
---|---|---|
davis james | President | 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805 |
Name | Role | Address |
---|---|---|
Robinson Matthew | Officer | 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805 |
Name | Role | Address |
---|---|---|
Hair Alan | Treasurer | 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805 |
Name | Role | Address |
---|---|---|
bowen brian | dire | 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805 |
Name | Role | Address |
---|---|---|
hartsfield brian | cfo | 3000 S JOHN YOUNG PKWY, ORLANDO, FL, 32805 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-10-26 | 1420 EDGEWATER DR SUITE 200, ORLANDO, FL 32804 | No data |
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