| Entity Name: | GERICARES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 Aug 2006 (18 years ago) |
| Date of dissolution: | 15 Dec 2016 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Dec 2016 (8 years ago) |
| Document Number: | L06000085950 |
| FEI/EIN Number | 20-5473064 |
| Address: | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 |
| Mail Address: | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 |
| ZIP code: | 34606 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1285789511 | 2007-01-25 | 2007-10-31 | 5344 SPRING HILL DR, SPRING HILL, FL, 346064562, US | 5344 SPRING HILL DR, SPRING HILL, FL, 346064562, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-666-0790 |
| Fax | 3526660903 |
Authorized person
| Name | DR. JIMMY EDMOND |
| Role | OWNER |
| Phone | 3526660790 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME81127 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD ID |
| Number | 06055 |
| State | FL |
| Issuer | TRICARE ID |
| Number | 352728686 |
| State | FL |
| Issuer | MEDICAL LICENSE NUMBER |
| Number | ME81127 |
| State | FL |
| Issuer | UNITED HEALTHCARE ID |
| Number | 1988649 |
| State | FL |
| Issuer | FIRST HEALTH |
| Number | 5589903 |
| State | FL |
| Issuer | HUMANA ID |
| Number | 123192 |
| State | FL |
| Issuer | MEDICAID |
| Number | 2795817 00 |
| State | FL |
| Issuer | AVMED ID |
| Number | 28922 |
| State | FL |
| Issuer | HUMANA GOLD PLUS ID |
| Number | 125028 |
| State | FL |
| Issuer | WELLCARE ID |
| Number | 241506 |
| State | FL |
| Issuer | UNIVERSAL ID |
| Number | 00780 |
| State | FL |
| Issuer | CIGNA ID |
| Number | 7572308 |
| State | LA |
| Issuer | AETNA ID |
| Number | 7128124 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDMOND, M, Manager | Agent | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 |
| Name | Role | Address |
|---|---|---|
| EDMOND, M | Managing Member | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-12-15 | No data | No data |
| REINSTATEMENT | 2016-12-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-11 | EDMOND, M, Manager | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-30 | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-30 | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-30 | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2016-12-15 |
| REINSTATEMENT | 2016-12-11 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-06-11 |
| ANNUAL REPORT | 2013-06-10 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-04-01 |
| ANNUAL REPORT | 2009-03-31 |
| ANNUAL REPORT | 2008-05-05 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
