| Entity Name: | FAMILY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Jul 1997 (28 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Aug 1997 (27 years ago) |
| Document Number: | P97000061770 |
| FEI/EIN Number | 59-3457280 |
| Address: | 6078 14TH STREET WEST, BRADENTON, FL 34207 |
| Mail Address: | 6078 14TH STREET WEST, BRADENTON, FL 34207 |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487913133 | 2012-05-15 | 2012-12-21 | 6078 14TH ST W, BRADENTON, FL, 34207, US | 6078 14TH ST W, BRADENTON, FL, 342074104, US | |||||||||||||||||||||||||
|
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| Phone | +1 941-752-1400 |
| Fax | 9417520192 |
Authorized person
| Name | DR. ASAD MOIZ ALI |
| Role | MEDICAL DOCTOR/OWNER |
| Phone | 9417521400 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0071369 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250563100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAY, JIM CPA | Agent | 3984 MANATEE AVE E, BRADENTON, FL 34208 |
| Name | Role | Address |
|---|---|---|
| DR. ALI | President | 6078 14TH STREET WEST, BRADENTON, FL 34207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-16 | GAY, JIM CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-16 | 3984 MANATEE AVE E, BRADENTON, FL 34208 | No data |
| AMENDMENT | 1997-08-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-08-22 | 6078 14TH STREET WEST, BRADENTON, FL 34207 | No data |
| CHANGE OF MAILING ADDRESS | 1997-08-22 | 6078 14TH STREET WEST, BRADENTON, FL 34207 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000372770 | TERMINATED | 1000000597638 | MANATEE | 2014-03-17 | 2024-03-21 | $ 1,380.69 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| J13000146382 | TERMINATED | 1000000441430 | MANATEE | 2012-12-28 | 2023-01-16 | $ 650.49 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| J12000678923 | TERMINATED | 1000000302048 | MANATEE | 2012-10-15 | 2022-10-17 | $ 398.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
