| Entity Name: | DR. JIM GERBRACHT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Mar 1982 (43 years ago) |
| Document Number: | F69453 |
| FEI/EIN Number | 59-2274933 |
| Address: | 615 A UNITED ST, KEY WEST, FL 33040 |
| Mail Address: | 615 A UNITED ST, KEY WEST, FL 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689940041 | 2012-03-29 | 2012-03-29 | 615 UNITED STREET, KEY WEST, FL, 330403229, US | 615 UNITED ST, SUITE A, KEY WEST, FL, 330403229, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-294-6111 |
| Fax | 3052948951 |
Authorized person
| Name | JAMES JOSEPH GERBRACHT |
| Role | PRESIDENT/OWNER |
| Phone | 3052946111 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0003769 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 050952300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GERBRACHT, JIM | Agent | 615 A UNITED ST, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| GERBRACHT, JAMES J. | President | 615 A UNITED ST, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| GERBRACHT, JAMES J. | Secretary | 615 A UNITED ST, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| GERBRACHT, JAMES J. | Treasurer | 615 A UNITED ST, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| Gerbracht, James J | Director | 615 A UNITED ST, KEY WEST, FL 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-18 | 615 A UNITED ST, KEY WEST, FL 33040 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-18 | 615 A UNITED ST, KEY WEST, FL 33040 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1984-07-09 | 615 A UNITED ST, KEY WEST, FL 33040 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-30 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
