| Entity Name: | GERICARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jun 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Nov 2016 (8 years ago) |
| Document Number: | L10000063489 |
| FEI/EIN Number | 27-2848533 |
| 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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| 1629378310 | 2010-10-27 | 2021-05-24 | 7539 SPRING HILL DR, SPRING HILL, FL, 346064350, US | 7539 SPRING HILL DR, SPRING HILL, FL, 346064350, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-666-0790 |
| Fax | 3526660903 |
Authorized person
| Name | DR. JIMMY EDMOND |
| Role | PHYSICIAN |
| Phone | 3526660790 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME81127 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HUMANA GOLD PLUS ID |
| Number | 125028 |
| State | FL |
| Issuer | FIRST HEALTH ID |
| Number | 5589903 |
| State | FL |
| Issuer | AETNA ID |
| Number | 7128124 |
| State | FL |
| Issuer | OPTIMUM ID |
| Number | P004912 |
| State | FL |
| Issuer | UNIVERSAL ID |
| Number | 00780 |
| State | FL |
| Issuer | HUMANA ID |
| Number | 123192 |
| State | FL |
| Issuer | MEDICAID |
| Number | 279581700 |
| State | FL |
| Issuer | FREEDOM ID |
| Number | P04912 |
| State | FL |
| Issuer | UNITED HEALTHCARE ID |
| Number | 1988649 |
| State | FL |
| Issuer | WELLCARE ID |
| Number | 241506 |
| State | FL |
| Issuer | AVMED ID |
| Number | 28922 |
| State | FL |
| Issuer | GHI ID |
| Number | 0153626 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD ID |
| Number | 06055 |
| State | FL |
| Issuer | CIGNA ID |
| Number | 7572308 |
| State | FL |
| Issuer | MEDICAL LICENSE ID |
| Number | ME81127 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ACCOUNTING MANAGEMENT& ADVISORY SERVICES | Agent | 615 CHANNELSIDE DRIVE, SUITE 207, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| EDMOND, JIMMY | Managing Member | 7539 SPRING HILL DRIVE, SPRING HILL, FL 34606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | ACCOUNTING MANAGEMENT& ADVISORY SERVICES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 615 CHANNELSIDE DRIVE, SUITE 207, TAMPA, FL 33602 | No data |
| REINSTATEMENT | 2016-11-01 | No data | 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 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-03-12 |
| REINSTATEMENT | 2016-11-01 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
