| Entity Name: | FAMILY FIRST PRIMARY CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jun 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Oct 2019 (5 years ago) |
| Document Number: | P07000072642 |
| FEI/EIN Number | 26-0401675 |
| Address: | 1075 OAKLEAF PLANTATION PARKWAY, SUITE 108, ORANGE PARK, FL, 32065, US |
| Mail Address: | 1075 OAKLEAF PLANTATION PARKWAY, SUITE 108, ORANGE PARK, FL, 32065, US |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942481429 | 2007-11-26 | 2009-05-12 | 1075 OAKLEAF PLANTATION PKWY, SUITE 108, ORANGE PARK, FL, 320653624, US | 1075 OAKLEAF PLANTATION PKWY, SUITE 108, ORANGE PARK, FL, 320653624, US | |||||||||||||||||||
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| Phone | +1 904-282-4565 |
| Fax | 9042824225 |
Authorized person
| Name | ALLISON DASTA BUTLER |
| Role | OWNER |
| Phone | 9042824565 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME 97725 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Green Terri D | Agent | 1075 OAKLEAF PLANTATION PARKWAY, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| BUTLER ALLISON D | President | 1075 Oakleaf Plantation Parkway, ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-17 | Green, Terri D | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-22 | 1075 OAKLEAF PLANTATION PARKWAY, SUITE 108, ORANGE PARK, FL 32065 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-22 | 1075 OAKLEAF PLANTATION PARKWAY, SUITE 108, ORANGE PARK, FL 32065 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-18 | 1075 OAKLEAF PLANTATION PARKWAY, SUITE 108, ORANGE PARK, FL 32065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-06 |
| REINSTATEMENT | 2019-10-17 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4144477308 | 2020-04-29 | 0491 | PPP | 1075 Plantation Parkway Suite 108, Orange Park, FL, 32065-3624 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
