| Entity Name: | GENESIS PHYSICIANS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Sep 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L10000098515 |
| FEI/EIN Number | 273564170 |
| Address: | 4600 N. HABANA AVE. #27, TAMPA, FL, 33614, US |
| Mail Address: | 4600 N. HABANA AVE. #27, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619268026 | 2011-04-20 | 2011-05-02 | 4600 N HABANA AVE, #27, TAMPA, FL, 336147112, US | 4600 N HABANA AVE, #27, TAMPA, FL, 336147112, US | |||||||||||||||
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| Phone | +1 813-876-4900 |
| Fax | 8138764997 |
Authorized person
| Name | LYNN A HENGOED |
| Role | OFFICE MANAGER |
| Phone | 8138764900 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ RAFAEL S | Agent | 4600 N. HABANA AVE. #27, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| HENGOED LYNN A | Manager | 4600 N HABANA AVE #27, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2011-11-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-23 | 4600 N. HABANA AVE. #27, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2011-11-23 | 4600 N. HABANA AVE. #27, TAMPA, FL 33614 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2010-09-27 | GENESIS PHYSICIANS GROUP, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-09-27 | 4600 N. HABANA AVE. #27, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-08-28 |
| REINSTATEMENT | 2011-11-23 |
| LC Article of Correction/NC | 2010-09-27 |
| Florida Limited Liability | 2010-09-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
