| Entity Name: | FAMILY CARE CENTER AT THE VILLAGES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Apr 2001 (24 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P01000039656 |
| FEI/EIN Number | 593712589 |
| Address: | 910 OLD CAMP ROAD, SUITE 202, THE VILLAGES, FL, 32162 |
| Mail Address: | 910 OLD CAMP ROAD, SUITE 202, THE VILLAGES, FL, 32162 |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861433666 | 2006-06-10 | 2008-04-20 | 910 OLD CAMP RD, SUITE 202, THE VILLAGES, FL, 321625604, US | 910 OLD CAMP RD, SUITE 202, THE VILLAGES, FL, 321625604, US | |||||||||||||||||||||||||||
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| Phone | +1 352-753-6886 |
| Fax | 3527512426 |
Authorized person
| Name | DR. ALAIN B SMOLARSKI |
| Role | PRESIDENT |
| Phone | 3527536886 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP NUMBER |
| Number | K3189 |
| State | FL |
| Issuer | BCBS GROUP |
| Number | 34890 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMOLARSKI ALAIN B | Agent | 910 OLD CAMP ROAD, THE VILLAGES, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| SMOLARSKI ALAIN B | President | 4828 SE 12TH PLACE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-04 | 910 OLD CAMP ROAD, SUITE 202, THE VILLAGES, FL 32162 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-04 | 910 OLD CAMP ROAD, SUITE 202, THE VILLAGES, FL 32162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-04 | 910 OLD CAMP ROAD, SUITE 202, THE VILLAGES, FL 32162 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-03-03 | SMOLARSKI, ALAIN BMD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-29 |
| ANNUAL REPORT | 2010-03-05 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-04-21 |
| ANNUAL REPORT | 2007-04-04 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-03-03 |
| ANNUAL REPORT | 2004-07-27 |
| ANNUAL REPORT | 2003-05-05 |
| ANNUAL REPORT | 2002-12-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
