| Entity Name: | FAMILY FIRST PEDIATRICS, P..A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Mar 2013 (12 years ago) |
| Document Number: | P13000028062 |
| FEI/EIN Number | 46-2411120 |
| Address: | 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792, US |
| Mail Address: | 2830 Casa Aloma Way, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164860987 | 2013-06-14 | 2013-09-30 | 1049 WILLA SPRINGS DR, SUITE 1031, WINTER SPRINGS, FL, 327085246, US | 1049 WILLA SPRINGS DR, SUITE 1031, WINTER SPRINGS, FL, 327085246, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-335-4760 |
| Fax | 4073880104 |
Authorized person
| Name | CLIFFORD SELSKY |
| Role | PHYSICIAN/OWNER |
| Phone | 4073884682 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME64462 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2080H0002X - Pediatric Hospice and Palliative Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0207X - Pediatric Hematology & Oncology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SELSKY CLIFFORD A | Agent | 2830 Casa Aloma Way, Winter Park, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| SELSKY CLIFFORD A | Chief Executive Officer | 1018 KEWANEE TRAIL, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-22 | 2830 CASA ALOMA WAY, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-22 | 2830 Casa Aloma Way, Winter Park, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-18 | 2830 CASA ALOMA WAY, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-07-08 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
