| Entity Name: | GERISOURCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Dec 2009 (15 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L09000121972 |
| FEI/EIN Number | 271437630 |
| Address: | 11812 CRUSSELLE DRIVE, JACKSONVILLE, FL, 32223 |
| Mail Address: | 11812 CRUSSELLE DRIVE, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871894972 | 2010-11-06 | 2010-11-06 | 11812 CRUSSELLE DR, JACKSONVILLE, FL, 322230876, US | 11812 CRUSSELLE DR, JACKSONVILLE, FL, 322230876, US | |||||||||||||||||
|
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| Phone | +1 904-252-5265 |
Authorized person
| Name | MRS. ANDREA H CLAYMAN |
| Role | PRESIDENT |
| Phone | 9042525265 |
Taxonomy
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| License Number | 9260038 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLAYMAN ANDREA | Agent | 11812 CRUSSELLE DRIVE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| CLAYMAN ANDREA | Managing Member | 11812 CRUSSELLE DRIVE, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2014-09-30 |
| ANNUAL REPORT | 2013-06-12 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-05-01 |
| ANNUAL REPORT | 2010-04-11 |
| Florida Limited Liability | 2009-12-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
